Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.55 / $731.00 / $7,212.00	Facility		$170.55	$731.00	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $276.55 / $369.46	Professional		$170.55	$276.55	$369.46
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 $157.90 / $221.55 / $298.47	Professional		$157.90	$221.55	$298.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $236.85 / $332.32 / $447.70	Professional	50	$236.85	$332.32	$447.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $221.94 / $397.88	Facility		$165.78	$221.94	$397.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $366.40 / $527.61	Professional		$293.12	$366.40	$527.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $477.79 / $1,375.01	Facility		$301.98	$477.79	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.99 / $299.98 / $528.54	Professional		$170.99	$299.98	$528.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $348.24 / $573.77	Professional		$260.50	$348.24	$573.77