Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.74 / $348.85 / $5,634.00	Facility		$135.74	$348.85	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.74 / $179.65 / $244.88	Professional		$135.74	$179.65	$244.88
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 $112.08 / $140.11 / $188.75	Professional		$112.08	$140.11	$188.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $168.13 / $210.16 / $283.13	Professional	50	$168.13	$210.16	$283.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $177.65 / $308.54	Facility		$132.69	$177.65	$308.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.73 / $233.68 / $350.52	Professional		$194.73	$233.68	$350.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $180.87 / $241.44	Facility		$50.00	$180.87	$241.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $204.24 / $397.01	Professional		$123.74	$204.24	$397.01
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 $175.36 / $235.00 / $429.79	Professional		$175.36	$235.00	$429.79