Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $85.73 / $139.29	Facility		$32.64	$85.73	$139.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $70.75 / $113.57	Professional		$31.14	$70.75	$113.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.96 / $4,119.97 / $8,230.00	Facility		$740.96	$4,119.97	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $34.04 / $46.97	Professional		$28.31	$34.04	$46.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $40.85 / $113.66	Facility		$31.42	$40.85	$113.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $98.90 / $123.63	Professional		$82.42	$98.90	$123.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.70 / $86.70 / $102.77	Facility		$86.70	$86.70	$102.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $92.57 / $193.77	Professional		$38.25	$92.57	$193.77
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 $83.74 / $128.84 / $216.05	Professional		$83.74	$128.84	$216.05