Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $543.00 / $5,634.00	Facility		$45.40	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $59.54 / $400.00	Professional		$38.29	$59.54	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,896.00 / $8,230.00	Facility		$856.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $128.05 / $172.51	Professional		$81.73	$128.05	$172.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $1,011.24 / $1,642.95	Facility		$67.42	$1,011.24	$1,642.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $66.75 / $66.75	Facility		$66.75	$66.75	$66.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $113.31 / $198.86	Professional		$76.09	$113.31	$198.86
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 $82.01 / $109.80 / $188.55	Professional		$82.01	$109.80	$188.55