Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $427.13 / $5,634.00	Facility		$120.51	$427.13	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $156.88 / $206.77	Professional		$120.11	$156.88	$206.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $119.31 / $164.64	Professional		$101.35	$119.31	$164.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $151.50 / $222.08	Facility		$116.54	$151.50	$222.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $193.18 / $241.47	Professional		$160.97	$193.18	$241.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.25 / $122.25 / $144.91	Facility		$122.25	$122.25	$144.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $195.37 / $286.36	Professional		$144.33	$195.37	$286.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $197.59 / $331.91	Professional		$146.96	$197.59	$331.91