Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $228.29 / $5,634.00	Facility		$73.56	$228.29	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $79.06 / $91.15	Professional		$73.56	$79.06	$91.15
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 $79.38 / $99.23 / $142.60	Professional		$79.38	$99.23	$142.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $104.07 / $116.92	Facility		$71.44	$104.07	$116.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $103.93 / $122.77	Professional		$86.61	$103.93	$122.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $105.66 / $158.28	Professional		$82.47	$105.66	$158.28
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 $70.27 / $97.22 / $161.83	Professional		$70.27	$97.22	$161.83