Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.01 / $236.15 / $4,846.00	Facility		$219.01	$236.15	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $230.03 / $296.82	Professional		$200.20	$230.03	$296.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.00 / $10,338.00 / $26,304.00	Facility		$1,429.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $289.12 / $390.31	Professional		$206.12	$289.12	$390.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.62 / $231.48 / $267.08	Facility		$181.62	$231.48	$267.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.96 / $213.67 / $267.08	Professional		$186.96	$213.67	$267.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $284.50 / $429.14	Professional		$201.43	$284.50	$429.14
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 $195.63 / $269.98 / $421.77	Professional		$195.63	$269.98	$421.77