Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $1,386.00 / $5,634.00	Facility		$48.47	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $48.47 / $60.01	Professional		$46.86	$48.47	$60.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $97.34 / $160.61	Professional		$55.08	$97.34	$160.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $60.50 / $72.59	Facility		$49.37	$60.50	$72.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $56.88 / $72.59	Professional		$48.40	$56.88	$72.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $87.98 / $140.29	Professional		$55.79	$87.98	$140.29
United Facility/Professional Facility Modifier Low / Median / High Price $170.46 / $2,049.00 / $4,395.00	Facility		$170.46	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $61.78 / $99.38	Professional		$50.63	$61.78	$99.38