Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $131.88 / $5,634.00	Facility		$50.74	$131.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $106.48 / $131.97	Professional		$47.60	$106.48	$131.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,700.00	Facility		$970.00	$5,790.87	$8,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $123.14 / $304.17	Professional		$68.80	$123.14	$304.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $52.99 / $140.66	Facility		$41.58	$52.99	$140.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $122.63 / $153.29	Professional		$107.30	$122.63	$153.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $847.52 / $847.52	Facility		$847.52	$847.52	$847.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $132.41 / $267.80	Professional		$51.59	$132.41	$267.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $171.92 / $249.61	Professional		$114.81	$171.92	$249.61