Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.89 / $221.89 / $4,846.00	Facility		$194.89	$221.89	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $204.22 / $267.13	Professional		$177.37	$204.22	$267.13
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 $193.68 / $272.99 / $368.53	Professional		$193.68	$272.99	$368.53
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 / $268.62 / $405.19	Professional		$181.16	$268.62	$405.19
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 $173.52 / $251.47 / $383.74	Professional		$173.52	$251.47	$383.74