Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $311.05 / $7,212.00	Facility		$56.61	$311.05	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $106.02 / $121.97	Professional		$56.61	$106.02	$121.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,417.00 / $7,761.00	Facility		$1,804.00	$4,417.00	$7,761.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $101.70 / $155.16	Professional		$62.00	$101.70	$155.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $79.91 / $157.77	Facility		$54.86	$79.91	$157.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $136.38 / $165.66	Professional		$113.66	$136.38	$165.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $116.46 / $182.54	Professional		$69.97	$116.46	$182.54
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 $102.56 / $140.69 / $221.36	Professional		$102.56	$140.69	$221.36