Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $358.88 / $5,634.00	Facility		$139.63	$358.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $148.69 / $179.46	Professional		$138.44	$148.69	$179.46
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 $123.57 / $169.25 / $243.87	Professional		$123.57	$169.25	$243.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $185.35 / $253.88 / $365.80	Professional	50	$185.35	$253.88	$365.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.12 / $182.24 / $282.52	Facility		$136.12	$182.24	$282.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.57 / $179.46 / $258.42	Professional		$143.57	$179.46	$258.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $248.01 / $422.00	Facility		$107.24	$248.01	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $176.76 / $341.24	Professional		$116.07	$176.76	$341.24
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 $132.76 / $172.23 / $311.68	Professional		$132.76	$172.23	$311.68