Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $171.76 / $5,634.00	Facility		$28.10	$171.76	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $90.71 / $142.29	Professional		$26.16	$90.71	$142.29
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 $26.68 / $35.86 / $52.47	Professional		$26.68	$35.86	$52.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $35.19 / $143.16	Facility		$27.07	$35.19	$143.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $121.96 / $152.44	Professional		$101.63	$121.96	$152.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.91 / $117.91 / $139.77	Facility		$117.91	$117.91	$139.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $119.88 / $218.66	Professional		$33.18	$119.88	$218.66
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $7,742.00	Facility		$933.00	$2,252.00	$7,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $144.88 / $257.11	Professional		$106.43	$144.88	$257.11