Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $123.78 / $5,634.00	Facility		$41.96	$123.78	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $63.65 / $75.20	Professional		$41.96	$63.65	$75.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.65 / $59.65 / $115.12	Facility		$59.65	$59.65	$115.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $66.92 / $103.11	Professional		$47.72	$66.92	$103.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $58.76 / $99.08	Facility		$40.34	$58.76	$99.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $87.89 / $104.03	Professional		$73.23	$87.89	$104.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $79.91 / $123.49	Professional		$49.26	$79.91	$123.49
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 $60.09 / $80.12 / $124.78	Professional		$60.09	$80.12	$124.78