Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $130.84 / $5,634.00	Facility		$65.31	$130.84	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $93.08 / $141.56	Professional		$66.30	$93.08	$141.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.14 / $115.14 / $222.22	Facility		$115.14	$115.14	$222.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $115.14 / $237.71	Professional		$66.04	$115.14	$237.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $83.23 / $96.03	Facility		$64.02	$83.23	$96.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $117.01 / $159.56	Professional		$106.37	$117.01	$159.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $118.90 / $118.90	Facility		$118.90	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $122.06 / $460.52	Professional		$66.98	$122.06	$460.52
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 $94.79 / $117.39 / $223.04	Professional		$94.79	$117.39	$223.04