Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $135.88 / $5,634.00	Facility		$24.30	$135.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $53.55 / $101.30	Professional		$24.30	$53.55	$101.30
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 $24.87 / $41.94 / $81.99	Professional		$24.87	$41.94	$81.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.31 / $62.91 / $122.98	Professional	50	$37.31	$62.91	$122.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.32 / $33.97 / $111.73	Facility		$23.32	$33.97	$111.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $96.48 / $117.31	Professional		$80.40	$96.48	$117.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $85.40 / $85.40	Facility		$85.40	$85.40	$85.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $60.39 / $120.11	Professional		$32.46	$60.39	$120.11
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 $60.12 / $77.03 / $127.20	Professional		$60.12	$77.03	$127.20