Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $4,846.00 / $4,846.00	Facility		$1,386.00	$4,846.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Professional		$1,386.00	$1,386.00	$1,386.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $67.09 / $129.50	Facility		$67.09	$67.09	$129.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $67.09 / $92.59	Professional		$48.16	$67.09	$92.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $78.81 / $93.98	Facility		$61.84	$78.81	$93.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $72.76 / $90.95	Professional		$63.66	$72.76	$90.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $84.88 / $84.88	Professional		$84.88	$84.88	$84.88
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $90.16 / $149.62	Professional		$67.56	$90.16	$149.62