Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $165.53 / $5,634.00	Facility		$64.41	$165.53	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.06 / $98.34	Professional		$64.41	$77.06	$98.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $67.09 / $90.39	Professional		$53.68	$67.09	$90.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.52 / $100.65 / $135.59	Professional	50	$80.52	$100.65	$135.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $84.62 / $146.97	Facility		$63.21	$84.62	$146.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $89.45 / $134.18	Professional		$74.54	$89.45	$134.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $114.91 / $422.00	Facility		$58.82	$114.91	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $84.14 / $148.38	Professional		$58.69	$84.14	$148.38
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $89.82 / $163.80	Professional		$68.73	$89.82	$163.80