Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $1,773.00 / $5,634.00	Facility		$72.81	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $72.98 / $97.10	Professional		$72.81	$72.98	$97.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,950.00 / $13,810.27	Facility		$1,682.00	$3,950.00	$13,810.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $96.43 / $136.93	Professional		$77.14	$96.43	$136.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $101.78 / $152.66	Facility		$72.09	$101.78	$152.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $88.21 / $122.13	Professional		$71.23	$88.21	$122.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.75 / $1,610.75 / $1,610.75	Facility		$1,610.75	$1,610.75	$1,610.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $98.74 / $256.83	Professional		$70.53	$98.74	$256.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $86.93 / $149.80	Professional		$71.89	$86.93	$149.80