Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $467.04 / $5,634.00	Facility		$113.53	$467.04	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $157.33 / $213.39	Professional		$103.29	$157.33	$213.39
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 $91.16 / $113.95 / $161.80	Professional		$91.16	$113.95	$161.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.13 / $174.42 / $256.50	Facility		$121.13	$174.42	$256.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $207.00 / $298.08	Professional		$168.91	$207.00	$298.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.16 / $165.16 / $165.16	Facility		$165.16	$165.16	$165.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $176.87 / $376.46	Professional		$112.55	$176.87	$376.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $202.63 / $363.85	Professional		$159.96	$202.63	$363.85