Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $58.16 / $5,634.00	Facility		$13.82	$58.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $19.98 / $23.26	Professional		$13.82	$19.98	$23.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $949.00 / $2,956.00	Facility		$18.11	$949.00	$2,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $23.85 / $31.56	Professional		$15.39	$23.85	$31.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.09 / $35.78 / $47.34	Professional	50	$23.09	$35.78	$47.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $19.73 / $30.33	Facility		$13.55	$19.73	$30.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $26.45 / $31.85	Professional		$22.04	$26.45	$31.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $25.22 / $37.95	Professional		$17.70	$25.22	$37.95
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 $20.95 / $30.50 / $47.67	Professional		$20.95	$30.50	$47.67