Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $824.00 / $5,634.00	Facility		$55.71	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $57.42 / $76.42	Professional		$50.43	$57.42	$76.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $4,097.10 / $8,230.00	Facility		$575.00	$4,097.10	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $76.09 / $112.49	Professional		$46.65	$76.09	$112.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $56.61 / $63.41	Facility		$45.29	$56.61	$63.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $54.35 / $67.94	Professional		$45.29	$54.35	$67.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $317.58 / $317.58	Facility		$57.01	$317.58	$317.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $68.63 / $113.88	Professional		$51.57	$68.63	$113.88
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,252.00 / $4,426.00	Facility		$500.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $58.36 / $96.68	Professional		$44.30	$58.36	$96.68