Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.43 / $391.79 / $5,634.00	Facility		$110.43	$391.79	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $212.04 / $302.73	Professional		$110.43	$212.04	$302.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $100.64 / $150.96	Professional		$80.51	$100.64	$150.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.76 / $150.96 / $226.44	Professional	50	$120.76	$150.96	$226.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $140.30 / $251.49	Facility		$104.79	$140.30	$251.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.83 / $278.20 / $417.30	Professional		$231.83	$278.20	$417.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $189.28 / $214.57	Facility		$50.00	$189.28	$214.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $237.50 / $497.55	Professional		$88.13	$237.50	$497.55
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 $207.92 / $278.20 / $499.51	Professional		$207.92	$278.20	$499.51