Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $343.77 / $5,634.00	Facility		$151.61	$343.77	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $271.60 / $418.87	Professional		$149.38	$271.60	$418.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.26 / $9,644.00 / $13,776.00	Facility		$248.26	$9,644.00	$13,776.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $248.63 / $505.00	Professional		$109.33	$248.63	$505.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.43 / $180.62 / $364.51	Facility		$125.43	$180.62	$364.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.70 / $343.82 / $476.07	Professional		$277.70	$343.82	$476.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.65 / $451.61 / $815.66	Professional		$177.65	$451.61	$815.66
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.04 / $446.70 / $668.34	Professional		$307.04	$446.70	$668.34