Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $543.00 / $5,634.00	Facility		$43.52	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $116.66 / $131.88	Professional		$43.52	$116.66	$131.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $114.64	Facility		$59.40	$59.40	$114.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $101.63 / $200.82	Professional		$50.49	$101.63	$200.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $61.02 / $173.57	Facility		$47.88	$61.02	$173.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $152.96 / $191.21	Professional		$127.47	$152.96	$191.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $160.75 / $245.88	Professional		$65.72	$160.75	$245.88
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 $152.59 / $197.20 / $294.20	Professional		$152.59	$197.20	$294.20