Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $396.71 / $5,634.00	Facility		$154.36	$396.71	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $211.41 / $292.20	Professional		$154.36	$211.41	$292.20
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 $136.94 / $199.20 / $268.36	Professional		$136.94	$199.20	$268.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.09 / $200.94 / $348.96	Facility		$150.09	$200.94	$348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.21 / $289.01 / $416.18	Professional		$231.21	$289.01	$416.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.07 / $273.11 / $422.00	Facility		$198.07	$273.11	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $245.88 / $469.15	Professional		$152.76	$245.88	$469.15
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.14 / $267.26 / $448.90	Professional		$204.14	$267.26	$448.90