Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $543.00 / $5,634.00	Facility		$55.83	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $67.18 / $89.57	Professional		$55.83	$67.18	$89.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $77.34 / $135.88	Professional		$47.64	$77.34	$135.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.73 / $67.20 / $85.52	Facility		$52.73	$67.20	$85.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $73.83 / $95.00	Professional		$63.33	$73.83	$95.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $175.16 / $175.16	Facility		$175.16	$175.16	$175.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $87.15 / $162.19	Professional		$59.65	$87.15	$162.19
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 $66.37 / $84.03 / $143.84	Professional		$66.37	$84.03	$143.84