Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $1,386.00 / $5,634.00	Facility		$35.39	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $38.76 / $54.08	Professional		$35.39	$38.76	$54.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.09 / $53.50 / $73.83	Professional		$41.09	$53.50	$73.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $44.06 / $50.84	Facility		$34.57	$44.06	$50.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $39.79 / $50.84	Professional		$33.89	$39.79	$50.84
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 $37.86 / $51.56 / $107.02	Professional		$37.86	$51.56	$107.02
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 $37.26 / $46.30 / $74.19	Professional		$37.26	$46.30	$74.19