Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $268.51 / $5,634.00	Facility		$88.89	$268.51	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $151.04 / $200.16	Professional		$88.89	$151.04	$200.16
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 $83.60 / $120.50 / $162.33	Professional		$83.60	$120.50	$162.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $116.48 / $208.80	Facility		$87.00	$116.48	$208.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $198.60 / $285.99	Professional		$158.88	$198.60	$285.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.06 / $164.73 / $646.00	Facility		$152.06	$164.73	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $172.54 / $343.54	Professional		$93.31	$172.54	$343.54
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 $142.52 / $188.09 / $311.97	Professional		$142.52	$188.09	$311.97