Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $170.26 / $5,634.00	Facility		$58.96	$170.26	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $81.73 / $115.28	Professional		$58.70	$81.73	$115.28
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 $58.20 / $81.72 / $118.00	Professional		$58.20	$81.72	$118.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $84.28 / $124.05	Facility		$57.86	$84.28	$124.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $108.58 / $130.25	Professional		$90.48	$108.58	$130.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $95.60 / $157.50	Professional		$62.27	$95.60	$157.50
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 $74.17 / $98.20 / $151.01	Professional		$74.17	$98.20	$151.01