Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.34 / $316.98 / $5,634.00	Facility		$123.34	$316.98	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $153.28 / $190.84	Professional		$123.34	$153.28	$190.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $128.38 / $173.31	Professional		$102.70	$128.38	$173.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $155.31 / $202.58	Facility		$106.63	$155.31	$202.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $185.13 / $212.71	Professional		$148.10	$185.13	$212.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.44 / $218.94 / $422.00	Facility		$112.44	$218.94	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $172.67 / $351.72	Professional		$118.50	$172.67	$351.72
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $175.05 / $303.14	Professional		$138.02	$175.05	$303.14