Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $1,386.00 / $4,846.00	Facility		$65.22	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $65.22 / $112.37	Professional		$51.97	$65.22	$112.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.08 / $196.08 / $378.43	Facility		$196.08	$196.08	$378.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $196.08 / $264.70	Professional		$152.77	$196.08	$264.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $188.13 / $2,366.16	Facility		$124.37	$188.13	$2,366.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $167.22 / $174.20	Professional		$97.55	$167.22	$174.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $258.83 / $258.83	Professional		$220.01	$258.83	$258.83
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 $84.07 / $108.27 / $193.85	Professional		$84.07	$108.27	$193.85