Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $108.19 / $5,634.00	Facility		$48.01	$108.19	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $84.70 / $125.09	Professional		$48.01	$84.70	$125.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $81.13 / $246.00	Professional		$42.80	$81.13	$246.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.35 / $61.62 / $120.39	Facility		$48.35	$61.62	$120.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $100.93 / $131.94	Professional		$87.96	$100.93	$131.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Facility		$82.80	$82.80	$82.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $106.96 / $236.88	Professional		$60.94	$106.96	$236.88
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $128.31 / $190.88	Professional		$85.75	$128.31	$190.88