Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $1,386.00 / $4,846.00	Facility		$71.88	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $71.88 / $100.50	Professional		$62.84	$71.88	$100.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $140.18 / $202.80	Professional		$96.46	$140.18	$202.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.49 / $136.18 / $121,498.80	Facility		$93.49	$136.18	$121,498.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $125.70 / $157.13	Professional		$104.75	$125.70	$157.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,627.38 / $1,627.38 / $1,627.38	Facility		$1,627.38	$1,627.38	$1,627.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.59 / $238.59 / $238.59	Professional		$238.59	$238.59	$238.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.86 / $125.57 / $227.89	Professional		$95.86	$125.57	$227.89