Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.82 / $177.73 / $4,846.00	Facility		$170.82	$177.73	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $175.98 / $209.74	Professional		$152.51	$175.98	$209.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,653.47 / $15,911.14	Facility		$4,800.00	$11,653.47	$15,911.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $149.13 / $205.79	Professional		$119.30	$149.13	$205.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $180.54 / $208.32	Facility		$141.66	$180.54	$208.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $166.66 / $208.32	Professional		$145.82	$166.66	$208.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $208.32 / $329.83	Professional		$154.90	$208.32	$329.83
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 $150.55 / $208.32 / $321.61	Professional		$150.55	$208.32	$321.61