Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.41 / $91.51 / $153.76	Facility		$63.41	$91.51	$153.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $82.81 / $106.27	Professional		$59.52	$82.81	$106.27
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 $57.89 / $90.97 / $125.53	Professional		$57.89	$90.97	$125.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.45 / $79.89 / $122.50	Facility		$61.45	$79.89	$122.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $100.53 / $136.47	Professional		$90.98	$100.53	$136.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $88.39	Facility		$74.56	$74.56	$88.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $100.66 / $167.93	Professional		$73.42	$100.66	$167.93
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 $79.12 / $105.32 / $181.53	Professional		$79.12	$105.32	$181.53