Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.29 / $283.45 / $4,846.00	Facility		$110.29	$283.45	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $111.79 / $139.25	Professional		$110.29	$111.79	$139.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $5,434.68 / $8,063.00	Facility		$3,278.00	$5,434.68	$8,063.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $233.28 / $331.25	Professional		$122.97	$233.28	$331.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $138.81 / $160.16	Facility		$108.92	$138.81	$160.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $128.13 / $160.16	Professional		$106.78	$128.13	$160.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $156.01 / $259.37	Professional		$121.32	$156.01	$259.37
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 $113.99 / $141.35 / $230.49	Professional		$113.99	$141.35	$230.49