Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $341.50 / $5,634.00	Facility		$66.59	$341.50	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $121.39 / $172.75	Professional		$63.79	$121.39	$172.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $48.31 / $72.64	Professional		$41.06	$48.31	$72.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.82 / $81.34 / $173.54	Facility		$63.82	$81.34	$173.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $149.52 / $186.90	Professional		$124.60	$149.52	$186.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $133.94 / $133.94	Facility		$133.94	$133.94	$133.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $122.65 / $284.77	Professional		$69.76	$122.65	$284.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $153.28 / $246.59	Professional		$115.24	$153.28	$246.59