Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $210.25 / $5,634.00	Facility		$52.48	$210.25	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.20 / $133.37	Professional		$52.48	$75.20	$133.37
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 $46.91 / $55.19 / $78.36	Professional		$46.91	$55.19	$78.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.36 / $82.78 / $117.55	Professional	50	$70.36	$82.78	$117.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $77.18 / $107.03	Facility		$55.48	$77.18	$107.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $97.35 / $140.19	Professional		$77.88	$97.35	$140.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $58.53 / $69.38	Facility		$58.53	$58.53	$69.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $112.86 / $247.73	Professional		$64.40	$112.86	$247.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $132.94 / $220.40	Professional		$74.23	$132.94	$220.40