Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.19 / $543.00 / $5,634.00	Facility		$195.19	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $255.08 / $344.35	Professional		$195.19	$255.08	$344.35
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 $174.60 / $205.58 / $283.70	Professional		$174.60	$205.58	$283.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $245.57 / $336.19	Facility		$168.59	$245.57	$336.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.81 / $318.51 / $353.00	Professional		$254.81	$318.51	$353.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.47 / $347.89 / $450.00	Facility		$186.47	$347.89	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.20 / $295.26 / $474.62	Professional		$217.20	$295.26	$474.62
United Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $2,811.00 / $4,271.00	Facility		$462.00	$2,811.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.10 / $308.05 / $545.79	Professional		$239.10	$308.05	$545.79