Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.29 / $225.64 / $4,846.00	Facility		$190.29	$225.64	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $205.24 / $235.11	Professional		$190.29	$205.24	$235.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $526.30 / $47,453.00	Facility		$272.70	$526.30	$47,453.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $272.70 / $376.32	Professional		$187.92	$272.70	$376.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.58 / $211.03 / $243.50	Facility		$165.58	$211.03	$243.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $194.80 / $243.50	Professional		$170.45	$194.80	$243.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.66 / $248.69 / $479.88	Professional		$191.66	$248.69	$479.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $208.04 / $354.72	Professional		$172.37	$208.04	$354.72