Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.24 / $649.30 / $7,212.00	Facility		$128.24	$649.30	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $235.39 / $300.04	Professional		$128.24	$235.39	$300.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $165.18 / $225.49	Professional		$121.70	$165.18	$225.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $182.55 / $247.77 / $338.23	Professional	50	$182.55	$247.77	$338.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $167.18 / $299.69	Facility		$124.87	$167.18	$299.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $297.38 / $428.22	Professional		$237.90	$297.38	$428.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $477.79 / $664.68	Facility		$227.66	$477.79	$664.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $261.17 / $539.17	Professional		$135.55	$261.17	$539.17
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.57 / $287.86 / $522.50	Professional		$219.57	$287.86	$522.50