Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $118.11 / $4,846.00	Facility		$82.45	$118.11	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $115.93 / $133.97	Professional		$82.45	$115.93	$133.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $122.79 / $226.18	Professional		$69.70	$122.79	$226.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.56 / $184.18 / $339.28	Professional	50	$104.56	$184.18	$339.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.66 / $117.75 / $173.16	Facility		$84.66	$117.75	$173.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $135.71 / $195.42	Professional		$110.74	$135.71	$195.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Facility		$86.70	$86.70	$86.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $137.47 / $257.85	Professional		$83.09	$137.47	$257.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.90 / $143.69 / $248.57	Professional		$110.90	$143.69	$248.57