Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.69 / $641.88 / $5,634.00	Facility		$163.69	$641.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $413.11 / $646.79	Professional		$142.86	$413.11	$646.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.10 / $278.11 / $47,453.00	Facility		$144.10	$278.11	$47,453.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $322.83 / $737.53	Professional		$122.48	$322.83	$737.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.79 / $195.54 / $530.25	Facility		$135.79	$195.54	$530.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.80 / $493.75 / $683.66	Professional		$398.80	$493.75	$683.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $479.36 / $952.21	Professional		$161.68	$479.36	$952.21
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $7,742.00	Facility		$933.00	$2,252.00	$7,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.52 / $741.09 / $1,114.45	Professional		$516.52	$741.09	$1,114.45