Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $358.85 / $5,634.00	Facility		$52.04	$358.85	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $57.01 / $87.43	Professional		$48.77	$57.01	$87.43
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 $79.55 / $209.60 / $297.63	Professional		$79.55	$209.60	$297.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $65.51 / $75.59	Facility		$51.40	$65.51	$75.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $57.82 / $75.59	Professional		$50.39	$57.82	$75.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $498.21	Facility		$498.21	$498.21	$498.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $101.20 / $198.63	Professional		$61.86	$101.20	$198.63
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 $54.71 / $82.28 / $127.03	Professional		$54.71	$82.28	$127.03