Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $69.23 / $4,846.00	Facility		$37.74	$69.23	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $64.22 / $88.02	Professional		$37.74	$64.22	$88.02
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 $50.07 / $84.32 / $161.33	Professional		$50.07	$84.32	$161.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $47.41 / $92.45	Facility		$37.20	$47.41	$92.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $76.48 / $101.24	Professional		$67.48	$76.48	$101.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $81.12 / $160.28	Professional		$42.32	$81.12	$160.28
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 $65.31 / $81.98 / $131.36	Professional		$65.31	$81.98	$131.36