Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.24 / $265.85 / $4,846.00	Facility		$247.24	$265.85	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.71 / $258.70 / $333.81	Professional		$224.71	$258.70	$333.81
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 $232.04 / $325.55 / $439.49	Professional		$232.04	$325.55	$439.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.03 / $261.31 / $301.52	Facility		$205.03	$261.31	$301.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.06 / $241.21 / $301.52	Professional		$211.06	$241.21	$301.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.76 / $320.33 / $483.23	Professional		$227.76	$320.33	$483.23
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 $219.73 / $305.14 / $457.64	Professional		$219.73	$305.14	$457.64