Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $135.43 / $5,634.00	Facility		$40.31	$135.43	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $72.42 / $135.18	Professional		$40.31	$72.42	$135.18
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 $57.72 / $80.41 / $117.09	Professional		$57.72	$80.41	$117.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $59.85 / $88.02	Facility		$39.90	$59.85	$88.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $88.79 / $127.86	Professional		$71.03	$88.79	$127.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $65.03 / $77.08	Facility		$65.03	$65.03	$77.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $105.71 / $246.02	Professional		$51.86	$105.71	$246.02
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 $64.12 / $119.33 / $219.94	Professional		$64.12	$119.33	$219.94