Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $1,096.48	Facility		$100.00	$213.80	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $158.49	Professional		$81.28	$100.00	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,071.52 / $1,412.54	Facility		$104.71	$1,071.52	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $177.83	Professional		$93.33	$104.71	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $69.18 / $97.72	Facility		$26.30	$69.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $213.80	Facility		$104.71	$154.88	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $218.78	Professional		$81.28	$131.83	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $302.00 / $309.03	Facility		$83.18	$302.00	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $181.97	Professional		$89.13	$112.20	$181.97