Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $174.35 / $5,634.00	Facility		$67.84	$174.35	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $81.11 / $96.33	Professional		$67.84	$81.11	$96.33
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 $60.30 / $82.56 / $130.86	Professional		$60.30	$82.56	$130.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $87.51 / $151.97	Facility		$65.37	$87.51	$151.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $96.63 / $139.13	Professional		$77.30	$96.63	$139.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $119.99 / $422.00	Facility		$50.82	$119.99	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $85.26 / $150.41	Professional		$54.53	$85.26	$150.41
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $90.75 / $161.13	Professional		$71.90	$90.75	$161.13