Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.40 / $523.91 / $5,634.00	Facility		$129.40	$523.91	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $454.48 / $523.91	Professional		$129.40	$454.48	$523.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.14 / $215.14 / $415.22	Facility		$215.14	$215.14	$415.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.11 / $409.56 / $910.37	Professional		$172.11	$409.56	$910.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.53 / $191.30 / $584.96	Facility		$137.53	$191.30	$584.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.25 / $553.74 / $766.71	Professional		$447.25	$553.74	$766.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $296.95 / $807.14	Professional		$157.54	$296.95	$807.14
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 $501.07 / $661.66 / $1,091.33	Professional		$501.07	$661.66	$1,091.33