Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $239.54 / $798.14	Facility		$57.79	$239.54	$798.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $67.91 / $111.27	Professional		$43.78	$67.91	$111.27
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 $40.49 / $63.73 / $90.49	Professional		$40.49	$63.73	$90.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $67.09 / $111.42	Facility		$48.88	$67.09	$111.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $101.16 / $151.74	Professional		$84.30	$101.16	$151.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.14 / $87.14 / $103.29	Facility		$87.14	$87.14	$103.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $81.50 / $149.47	Professional		$50.53	$81.50	$149.47
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 $66.87 / $85.65 / $153.78	Professional		$66.87	$85.65	$153.78