Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $109.68 / $4,846.00	Facility		$58.46	$109.68	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $97.33 / $135.79	Professional		$56.00	$97.33	$135.79
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 $46.85 / $55.12 / $78.27	Professional		$46.85	$55.12	$78.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $71.31 / $136.28	Facility		$55.95	$71.31	$136.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $117.71 / $147.13	Professional		$98.09	$117.71	$147.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.17 / $103.17 / $103.17	Facility		$103.17	$103.17	$103.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $96.24 / $226.92	Professional		$60.46	$96.24	$226.92
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 $95.25 / $125.06 / $218.46	Professional		$95.25	$125.06	$218.46