Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $494.24 / $7,212.00	Facility		$112.36	$494.24	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $166.10 / $190.08	Professional		$112.36	$166.10	$190.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,417.00 / $7,761.00	Facility		$1,804.00	$4,417.00	$7,761.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.21 / $180.40 / $247.28	Professional		$129.21	$180.40	$247.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $157.50 / $251.56	Facility		$108.13	$157.50	$251.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $210.66 / $264.14	Professional		$183.18	$210.66	$264.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $199.82 / $333.81	Professional		$133.01	$199.82	$333.81
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 $162.13 / $219.92 / $357.12	Professional		$162.13	$219.92	$357.12