Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $1,174.90	Facility		$93.33	$169.82	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $154.88	Professional		$87.10	$97.72	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,230.27 / $1,621.81	Facility		$141.25	$1,230.27	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $223.87	Professional		$123.03	$141.25	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $77.62 / $100.00	Facility		$21.88	$77.62	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $281.84	Facility		$125.89	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $302.00	Professional		$125.89	$169.82	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $208.93	Professional		$100.00	$125.89	$208.93