Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.97 / $551.60 / $16,042.00	Facility		$112.97	$551.60	$16,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $194.96 / $296.11	Professional		$111.10	$194.96	$296.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $7,581.00 / $14,620.00	Facility		$3,278.00	$7,581.00	$14,620.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $213.28 / $519.74	Professional		$100.92	$213.28	$519.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.38 / $319.92 / $779.62	Professional	50	$151.38	$319.92	$779.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $172.80 / $281.30	Facility		$120.00	$172.80	$281.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $254.13 / $365.94	Professional		$207.37	$254.13	$365.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.03 / $192.03 / $192.03	Facility		$192.03	$192.03	$192.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $521.03 / $1,259.90	Professional		$144.75	$521.03	$1,259.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $295.92 / $813.96	Professional		$188.85	$295.92	$813.96