Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $123.51 / $4,846.00	Facility		$59.22	$123.51	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $98.38 / $138.22	Professional		$59.22	$98.38	$138.22
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 $78.41 / $107.25 / $153.52	Professional		$78.41	$107.25	$153.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $82.26 / $181.04	Facility		$56.48	$82.26	$181.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $156.11 / $190.09	Professional		$130.09	$156.11	$190.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $121.05 / $201.04	Professional		$75.98	$121.05	$201.04
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 $102.51 / $146.15 / $254.15	Professional		$102.51	$146.15	$254.15