Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $84.08 / $5,634.00	Facility		$38.64	$84.08	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $65.43 / $84.52	Professional		$38.64	$65.43	$84.52
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 $50.54 / $85.11 / $161.33	Professional		$50.54	$85.11	$161.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $48.93 / $94.04	Facility		$38.39	$48.93	$94.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $78.61 / $102.54	Professional		$68.36	$78.61	$102.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Facility		$64.15	$64.15	$64.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $82.66 / $161.33	Professional		$43.02	$82.66	$161.33
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,291.00 / $4,426.00	Facility		$600.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $83.15 / $133.25	Professional		$66.28	$83.15	$133.25