Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $866.88 / $5,634.00	Facility		$51.25	$866.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $85.29 / $147.99	Professional		$51.25	$85.29	$147.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $88.02 / $124.98	Professional		$57.49	$88.02	$124.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.24 / $132.03 / $187.48	Professional	50	$86.24	$132.03	$187.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $76.34 / $112.26	Facility		$50.89	$76.34	$112.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $110.09 / $158.52	Professional		$88.07	$110.09	$158.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $120.75 / $216.14	Professional		$67.01	$120.75	$216.14
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 $78.84 / $134.11 / $238.31	Professional		$78.84	$134.11	$238.31