Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.08 / $203.73 / $5,634.00	Facility		$74.08	$203.73	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $115.91 / $166.83	Professional		$69.81	$115.91	$166.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $116.89 / $157.80	Professional		$85.69	$116.89	$157.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $128.53 / $175.33 / $236.70	Professional	50	$128.53	$175.33	$236.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.16 / $108.71 / $159.87	Facility		$78.16	$108.71	$159.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.55 / $150.69 / $216.99	Professional		$120.55	$150.69	$216.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $147.35 / $231.05	Professional		$88.15	$147.35	$231.05
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 $115.04 / $155.30 / $268.54	Professional		$115.04	$155.30	$268.54