Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $180.06 / $5,138.32	Facility		$59.91	$180.06	$5,138.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $114.75 / $187.56	Professional		$58.92	$114.75	$187.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $82.09 / $113.28	Professional		$53.90	$82.09	$113.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.84 / $123.13 / $169.92	Professional	50	$80.84	$123.13	$169.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $90.32 / $132.83	Facility		$60.21	$90.32	$132.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $180.40 / $259.77	Professional		$144.32	$180.40	$259.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $143.51 / $259.77	Professional		$71.29	$143.51	$259.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $151.26 / $258.14	Professional		$112.00	$151.26	$258.14