Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.47 / $1,386.00 / $4,846.00	Facility		$64.47	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $64.47 / $75.20	Professional		$62.43	$64.47	$75.20
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 $42.50 / $50.00 / $67.36	Professional		$42.50	$50.00	$67.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,541.09 / $16,541.09 / $23,341.03	Facility		$16,541.09	$16,541.09	$23,341.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $84.71 / $129.69	Professional		$50.00	$84.71	$129.69
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 $58.73 / $78.31 / $124.03	Professional		$58.73	$78.31	$124.03