Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $80.81 / $5,634.00	Facility		$57.78	$80.81	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $72.38 / $94.12	Professional		$55.92	$72.38	$94.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $90.50 / $143.88	Professional		$53.38	$90.50	$143.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $70.50 / $92.23	Facility		$54.23	$70.50	$92.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $80.81 / $101.03	Professional		$67.34	$80.81	$101.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $58.95 / $761.00	Facility		$58.95	$58.95	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $84.81 / $154.91	Professional		$57.78	$84.81	$154.91
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $85.48 / $141.75	Professional		$68.38	$85.48	$141.75