Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.89 / $215.11 / $4,846.00	Facility		$194.89	$215.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.26 / $204.22 / $263.51	Professional		$179.26	$204.22	$263.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $264.04 / $356.45	Professional		$187.75	$264.04	$356.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $205.99 / $237.68	Facility		$161.62	$205.99	$237.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $190.14 / $237.68	Professional		$166.37	$190.14	$237.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.16 / $259.81 / $391.92	Professional		$181.16	$259.81	$391.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.75 / $241.41 / $360.92	Professional		$175.75	$241.41	$360.92