Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $543.00 / $5,634.00	Facility		$137.19	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $318.26 / $454.35	Professional		$129.31	$318.26	$454.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $139.65 / $192.71	Professional		$111.72	$139.65	$192.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $167.58 / $209.47 / $289.07	Professional	50	$167.58	$209.47	$289.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.71 / $205.91 / $302.81	Facility		$148.71	$205.91	$302.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $344.83 / $431.04 / $620.70	Professional		$344.83	$431.04	$620.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,469.38	Facility		$1,239.56	$1,239.56	$1,469.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $284.41 / $606.85	Professional		$155.15	$284.41	$606.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,032.00 / $10,413.00	Facility		$3,364.00	$6,032.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.55 / $452.97 / $765.63	Professional		$329.55	$452.97	$765.63