Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.83 / $326.68 / $5,634.00	Facility		$122.83	$326.68	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $190.86 / $243.31	Professional		$122.83	$190.86	$243.31
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 $104.77 / $128.76 / $190.56	Professional		$104.77	$128.76	$190.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.15 / $193.14 / $285.83	Professional	50	$157.15	$193.14	$285.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $160.16 / $278.14	Facility		$119.63	$160.16	$278.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $241.63 / $347.94	Professional		$193.30	$241.63	$347.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $218.74 / $422.00	Facility		$180.47	$218.74	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $211.86 / $453.25	Professional		$132.07	$211.86	$453.25
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $6,436.00	Facility		$629.00	$3,817.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $231.91 / $419.65	Professional		$181.26	$231.91	$419.65