Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $163.15 / $5,634.00	Facility		$61.25	$163.15	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $114.29 / $185.91	Professional		$59.80	$114.29	$185.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $57.35 / $110.69	Facility		$57.35	$57.35	$110.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $115.52 / $194.54	Professional		$48.74	$115.52	$194.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $72.84 / $84.05	Facility		$56.03	$72.84	$84.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $149.56 / $203.94	Professional		$135.96	$149.56	$203.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $104.94	Facility		$104.94	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $139.25 / $451.58	Professional		$66.63	$139.25	$451.58
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $160.69 / $332.66	Professional		$126.74	$160.69	$332.66