Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $187.24 / $5,634.00	Facility		$92.16	$187.24	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $163.36 / $199.36	Professional		$92.16	$163.36	$199.36
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 $103.50 / $218.42 / $301.41	Professional		$103.50	$218.42	$301.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $119.55 / $244.62	Facility		$90.57	$119.55	$244.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $188.50 / $256.85	Professional		$157.08	$188.50	$256.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $153.85 / $246.22	Professional		$112.10	$153.85	$246.22
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $293.42 / $528.70	Professional		$221.98	$293.42	$528.70