Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $198.33 / $5,634.00	Facility		$18.68	$198.33	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $50.90 / $96.46	Professional		$18.68	$50.90	$96.46
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 $19.07 / $34.75 / $93.85	Professional		$19.07	$34.75	$93.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $28.61 / $52.12 / $140.78	Professional	50	$28.61	$52.12	$140.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $24.46 / $28.53	Facility		$20.38	$24.46	$28.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.47 / $80.81 / $99.18	Professional		$73.47	$80.81	$99.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $49.80 / $108.19	Professional		$25.26	$49.80	$108.19
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 $50.88 / $69.70 / $120.21	Professional		$50.88	$69.70	$120.21