Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.18 / $4,846.00 / $15,361.38	Facility		$177.18	$4,846.00	$15,361.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $198.46 / $479.00	Professional		$177.18	$198.46	$479.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.95 / $1,805.00 / $8,766.00	Facility		$270.95	$1,805.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.97 / $236.39 / $365.03	Professional		$174.97	$236.39	$365.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.85 / $230.22 / $263.67	Facility		$191.85	$230.22	$263.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.85 / $211.04 / $259.00	Professional		$191.85	$211.04	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.92 / $261.98 / $363.00	Professional		$202.92	$261.98	$363.00
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 $170.80 / $235.66 / $362.46	Professional		$170.80	$235.66	$362.46