Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.70 / $824.00 / $5,634.00	Facility		$63.70	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $68.06 / $89.82	Professional		$63.70	$68.06	$89.82
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 $70.98 / $132.32 / $187.89	Professional		$70.98	$132.32	$187.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $81.59 / $94.14	Facility		$64.02	$81.59	$94.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $72.17 / $94.14	Professional		$62.76	$72.17	$94.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $106.57 / $211.24	Professional		$65.02	$106.57	$211.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $91.48 / $184.66	Professional		$65.47	$91.48	$184.66