Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $132.13 / $5,634.00	Facility		$43.33	$132.13	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $99.01 / $146.15	Professional		$43.33	$99.01	$146.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $81.50 / $174.46	Professional		$30.79	$81.50	$174.46
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.19 / $122.25 / $261.69	Professional	50	$46.19	$122.25	$261.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $51.45 / $140.71	Facility		$35.74	$51.45	$140.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $133.66 / $185.07	Professional		$107.96	$133.66	$185.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $110.54 / $110.54	Facility		$110.54	$110.54	$110.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $145.30 / $300.20	Professional		$67.73	$145.30	$300.20
United Facility/Professional Facility Modifier Low / Median / High Price $334.84 / $2,049.00 / $4,395.00	Facility		$334.84	$2,049.00	$4,395.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $152.97 / $237.66	Professional		$101.96	$152.97	$237.66