Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.17 / $2,318.00 / $7,155.07	Facility		$79.17	$2,318.00	$7,155.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $172.87 / $267.98	Professional		$70.94	$172.87	$267.98
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 $57.44 / $71.79 / $107.68	Professional		$57.44	$71.79	$107.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.16 / $107.68 / $161.52	Professional	50	$86.16	$107.68	$161.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $118.76 / $174.65	Facility		$85.38	$118.76	$174.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $253.98 / $365.73	Professional		$203.18	$253.98	$365.73
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 $83.55 / $178.52 / $364.63	Professional		$83.55	$178.52	$364.63
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 $166.62 / $238.48 / $406.61	Professional		$166.62	$238.48	$406.61