Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $165.96 / $4,897.79	Facility		$54.95	$165.96	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $165.96	Professional		$44.67	$95.50	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $104.71	Professional		$48.98	$67.61	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $48.98 / $54.95	Facility		$46.77	$48.98	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $239.88	Facility		$51.29	$109.65	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $199.53	Professional		$53.70	$112.20	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,818.38 / $4,265.80	Facility		$588.84	$2,818.38	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $165.96	Professional		$47.86	$91.20	$165.96