Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $92.64 / $4,846.00	Facility		$63.93	$92.64	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $86.20 / $102.74	Professional		$63.57	$86.20	$102.74
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 $51.65 / $76.95 / $106.19	Professional		$51.65	$76.95	$106.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $82.58 / $124.71	Facility		$63.52	$82.58	$124.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.05 / $102.82 / $139.58	Professional		$93.05	$102.82	$139.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.30 / $89.30 / $105.85	Facility		$89.30	$89.30	$105.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $96.57 / $175.10	Professional		$67.59	$96.57	$175.10
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 $75.52 / $102.94 / $191.84	Professional		$75.52	$102.94	$191.84