Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $18.39 / $4,846.00	Facility		$7.51	$18.39	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $11.03 / $18.62	Professional		$7.16	$11.03	$18.62
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 $6.45 / $10.77 / $22.45	Professional		$6.45	$10.77	$22.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $9.67 / $16.16 / $33.68	Professional	50	$9.67	$16.16	$33.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $8.91 / $17.91	Facility		$6.11	$8.91	$17.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.73 / $18.80	Professional		$13.11	$15.73	$18.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $13.31 / $22.83	Professional		$8.46	$13.31	$22.83
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 $10.83 / $15.88 / $24.99	Professional		$10.83	$15.88	$24.99