Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $190.39 / $5,634.00	Facility		$77.78	$190.39	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $99.23 / $125.38	Professional		$77.78	$99.23	$125.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $100.83 / $194.60	Facility		$100.83	$100.83	$194.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $100.83 / $161.86	Professional		$73.86	$100.83	$161.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $94.89 / $109.49	Facility		$72.98	$94.89	$109.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $111.82 / $146.18	Professional		$97.45	$111.82	$146.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $135.94 / $135.94	Facility		$135.94	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $112.69 / $197.49	Professional		$78.20	$112.69	$197.49
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $107.93 / $196.60	Professional		$89.35	$107.93	$196.60