Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $99.20 / $165.72	Facility		$70.80	$99.20	$165.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $95.58 / $111.40	Professional		$69.55	$95.58	$111.40
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 $55.38 / $65.16 / $94.27	Professional		$55.38	$65.16	$94.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $98.57 / $147.86	Facility		$70.22	$98.57	$147.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $122.58 / $176.51	Professional		$98.06	$122.58	$176.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $77.59 / $91.98	Facility		$77.59	$77.59	$91.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $110.26 / $179.59	Professional		$80.94	$110.26	$179.59
United Facility/Professional Facility Modifier Low / Median / High Price $866.00 / $2,291.00 / $4,426.00	Facility		$866.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $109.71 / $204.30	Professional		$82.82	$109.71	$204.30