Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $259.18 / $5,634.00	Facility		$45.59	$259.18	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $95.37 / $104.83	Professional		$45.59	$95.37	$104.83
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 $51.55 / $67.94 / $96.47	Professional		$51.55	$67.94	$96.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $57.17 / $132.25	Facility		$44.86	$57.17	$132.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $107.17 / $139.79	Professional		$93.19	$107.17	$139.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $87.57	Facility		$87.57	$87.57	$87.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $114.24 / $221.32	Professional		$54.59	$114.24	$221.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $116.93 / $199.74	Professional		$91.77	$116.93	$199.74