Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $143.75 / $5,634.00	Facility		$46.33	$143.75	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $77.56 / $105.44	Professional		$46.33	$77.56	$105.44
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 $46.07 / $86.51 / $138.15	Professional		$46.07	$86.51	$138.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $64.81 / $116.24	Facility		$44.50	$64.81	$116.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $102.07 / $122.05	Professional		$85.06	$102.07	$122.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $96.84 / $151.33	Professional		$61.58	$96.84	$151.33
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $2,291.00 / $4,426.00	Facility		$899.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $104.85 / $155.87	Professional		$72.81	$104.85	$155.87