Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.51 / $228.41 / $4,846.00	Facility		$73.51	$228.41	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $117.86 / $166.99	Professional		$61.26	$117.86	$166.99
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 $95.07 / $191.28 / $294.68	Professional		$95.07	$191.28	$294.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $85.71 / $174.49	Facility		$58.84	$85.71	$174.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $152.12 / $183.21	Professional		$126.77	$152.12	$183.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.21 / $163.13 / $258.41	Professional		$85.21	$163.13	$258.41
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 $108.27 / $158.80 / $246.67	Professional		$108.27	$158.80	$246.67