Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $360.59 / $4,846.00	Facility		$48.67	$360.59	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $87.15 / $127.48	Professional		$43.41	$87.15	$127.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,119.97 / $8,230.00	Facility		$600.00	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $89.09 / $259.63	Professional		$38.56	$89.09	$259.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $51.44 / $60.39	Facility		$39.57	$51.44	$60.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $96.16 / $120.20	Professional		$80.13	$96.16	$120.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $75.00	Facility		$72.81	$72.81	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $114.72 / $216.19	Professional		$51.79	$114.72	$216.19
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,252.00 / $4,426.00	Facility		$600.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $116.62 / $177.92	Professional		$74.72	$116.62	$177.92