Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $166.35 / $5,634.00	Facility		$47.30	$166.35	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $115.60 / $166.35	Professional		$47.30	$115.60	$166.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $121.08 / $261.91	Professional		$62.49	$121.08	$261.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $59.89 / $189.30	Facility		$46.99	$59.89	$189.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $155.53 / $202.86	Professional		$135.24	$155.53	$202.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.65 / $145.65 / $145.65	Facility		$145.65	$145.65	$145.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $141.58 / $251.48	Professional		$54.30	$141.58	$251.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.24 / $168.50 / $303.83	Professional		$119.24	$168.50	$303.83