Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.24 / $636.59 / $4,846.00	Facility		$85.24	$636.59	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $174.29 / $714.04	Professional		$82.72	$174.29	$714.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $92.54 / $178.60	Facility		$92.54	$92.54	$178.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $148.56 / $245.12	Professional		$78.65	$148.56	$245.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $99.95 / $129.10	Facility		$74.34	$99.95	$129.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.08 / $653.27 / $885.74	Professional		$592.08	$653.27	$885.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $190.42 / $889.32	Professional		$95.39	$190.42	$889.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,660.00 / $10,396.00	Facility		$2,062.00	$5,660.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $410.85 / $803.73	Professional		$184.81	$410.85	$803.73