Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $28.66 / $45.78	Facility		$17.55	$28.66	$45.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $27.45 / $53.03	Professional		$16.88	$27.45	$53.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $3,399.00 / $6,008.00	Facility		$575.00	$3,399.00	$6,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $18.63 / $43.84	Professional		$15.83	$18.63	$43.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.75 / $27.94 / $65.76	Professional	50	$23.75	$27.94	$65.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $23.31 / $37.22	Facility		$17.69	$23.31	$37.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.86 / $48.77	Professional		$27.09	$33.86	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $48.83 / $88.48	Professional		$20.51	$48.83	$88.48
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 $26.36 / $46.42 / $79.13	Professional		$26.36	$46.42	$79.13