Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.13 / $351.99 / $5,634.00	Facility		$72.13	$351.99	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $121.29 / $173.45	Professional		$64.40	$121.29	$173.45
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 $52.44 / $65.55 / $98.32	Professional		$52.44	$65.55	$98.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.66 / $98.32 / $147.47	Professional	50	$78.66	$98.32	$147.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $106.61 / $156.78	Facility		$71.06	$106.61	$156.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $162.78 / $234.39	Professional		$130.22	$162.78	$234.39
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 $75.61 / $143.29 / $250.34	Professional		$75.61	$143.29	$250.34
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 $114.04 / $156.26 / $263.72	Professional		$114.04	$156.26	$263.72