Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $231.45 / $5,634.00	Facility		$73.56	$231.45	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $80.15 / $92.34	Professional		$73.56	$80.15	$92.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $3,548.00 / $4,847.00	Facility		$1,365.00	$3,548.00	$4,847.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $98.19 / $148.44	Professional		$81.43	$98.19	$148.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $104.07 / $118.56	Facility		$71.44	$104.07	$118.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $105.37 / $124.48	Professional		$87.81	$105.37	$124.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $107.13 / $156.72	Professional		$83.83	$107.13	$156.72
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $103.44 / $164.49	Professional		$77.42	$103.44	$164.49