Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.77 / $177.47 / $5,634.00	Facility		$62.77	$177.47	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $107.66 / $210.23	Professional		$61.70	$107.66	$210.23
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 $81.59 / $137.40 / $217.98	Professional		$81.59	$137.40	$217.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.42 / $75.95 / $206.17	Facility		$58.42	$75.95	$206.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $177.47 / $221.84	Professional		$147.88	$177.47	$221.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $164.29 / $761.00	Facility		$109.44	$164.29	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $163.61 / $312.54	Professional		$72.67	$163.61	$312.54
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 $118.96 / $156.50 / $263.49	Professional		$118.96	$156.50	$263.49