Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $95.79 / $5,634.00	Facility		$49.65	$95.79	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $79.59 / $106.65	Professional		$49.65	$79.59	$106.65
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 $67.06 / $109.58 / $180.81	Professional		$67.06	$109.58	$180.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $62.86 / $106.22	Facility		$49.32	$62.86	$106.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $89.37 / $116.82	Professional		$77.88	$89.37	$116.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $94.40 / $180.81	Professional		$56.69	$94.40	$180.81
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 $76.50 / $95.57 / $160.38	Professional		$76.50	$95.57	$160.38