Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.94 / $187.46 / $5,634.00	Facility		$72.94	$187.46	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $95.85 / $148.07	Professional		$67.93	$95.85	$148.07
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 $58.08 / $71.22 / $98.28	Professional		$58.08	$71.22	$98.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $106.97 / $149.75	Facility		$72.73	$106.97	$149.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $132.76 / $191.18	Professional		$106.21	$132.76	$191.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.94 / $107.94 / $127.95	Facility		$107.94	$107.94	$127.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $117.07 / $165.84	Professional		$80.23	$117.07	$165.84
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 $88.06 / $118.34 / $211.41	Professional		$88.06	$118.34	$211.41