Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $332.52 / $5,634.00	Facility		$77.22	$332.52	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $169.99 / $245.95	Professional		$72.31	$169.99	$245.95
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 $62.21 / $77.77 / $107.32	Professional		$62.21	$77.77	$107.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.32 / $116.65 / $160.97	Professional	50	$93.32	$116.65	$160.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.89 / $115.34 / $169.61	Facility		$76.89	$115.34	$169.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $245.95 / $354.17	Professional		$196.76	$245.95	$354.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $170.29 / $317.70	Professional		$86.57	$170.29	$317.70
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 $172.62 / $234.27 / $394.17	Professional		$172.62	$234.27	$394.17