Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.30 / $710.17 / $14,063.00	Facility		$183.30	$710.17	$14,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $363.36 / $492.23	Professional		$172.52	$363.36	$492.23
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 $147.52 / $184.40 / $254.47	Professional		$147.52	$184.40	$254.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $221.28 / $276.60 / $381.70	Professional	50	$221.28	$276.60	$381.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.85 / $233.81 / $269.77	Facility		$179.85	$233.81	$269.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.22 / $525.28 / $630.33	Professional		$420.22	$525.28	$630.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.56 / $1,239.56 / $1,239.56	Facility		$1,239.56	$1,239.56	$1,239.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $488.74 / $803.57	Professional		$234.72	$488.74	$803.57
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 $450.78 / $593.91 / $949.83	Professional		$450.78	$593.91	$949.83