Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $313.77 / $5,634.00	Facility		$42.32	$313.77	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $118.29 / $226.35	Professional		$39.90	$118.29	$226.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $68.87 / $132.91	Facility		$68.87	$68.87	$132.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $68.87 / $95.04	Professional		$42.02	$68.87	$95.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $56.59 / $90.95	Facility		$41.23	$56.59	$90.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $222.79 / $334.19	Professional		$185.66	$222.79	$334.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $184.85 / $361.40	Professional		$47.86	$184.85	$361.40
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $207.33 / $373.82	Professional		$150.63	$207.33	$373.82