Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $288.17 / $5,634.00	Facility		$83.42	$288.17	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.42 / $112.13 / $156.33	Professional		$83.42	$112.13	$156.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $88.11 / $132.06	Professional		$74.89	$88.11	$132.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.34 / $132.16 / $198.09	Professional	50	$112.34	$132.16	$198.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.05 / $108.51 / $188.45	Facility		$81.05	$108.51	$188.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $135.61 / $195.29	Professional		$108.49	$135.61	$195.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $356.73 / $1,627.38	Facility		$149.79	$356.73	$1,627.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $140.75 / $257.67	Professional		$93.86	$140.75	$257.67
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $139.76 / $247.34	Professional		$109.54	$139.76	$247.34