Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $138.16 / $5,634.00	Facility		$47.12	$138.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $97.62 / $157.01	Professional		$47.76	$97.62	$157.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.58 / $75.58 / $145.87	Facility		$75.58	$75.58	$145.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $110.86 / $450.48	Professional		$51.65	$110.86	$450.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $64.56 / $103.77	Facility		$49.00	$64.56	$103.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $129.18 / $202.20	Professional		$112.33	$129.18	$202.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $114.74 / $450.49	Professional		$49.00	$114.74	$450.49
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 $103.52 / $156.69 / $311.25	Professional		$103.52	$156.69	$311.25