Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $267.57 / $5,634.00	Facility		$13.33	$267.57	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $42.67 / $84.21	Professional		$13.33	$42.67	$84.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $28.36 / $81.61	Professional		$13.60	$28.36	$81.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.41 / $42.54 / $122.41	Professional	50	$20.41	$42.54	$122.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $17.02 / $19.85	Facility		$14.18	$17.02	$19.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $69.40 / $85.17	Professional		$63.09	$69.40	$85.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $39.21 / $94.08	Professional		$17.62	$39.21	$94.08
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 $42.80 / $59.07 / $102.72	Professional		$42.80	$59.07	$102.72