Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $113.83 / $5,634.00	Facility		$44.29	$113.83	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $53.00 / $104.00	Professional		$44.29	$53.00	$104.00
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 $55.55 / $69.44 / $93.54	Professional		$55.55	$69.44	$93.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.32 / $104.16 / $140.32	Professional	50	$83.32	$104.16	$140.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.64 / $57.09 / $92.14	Facility		$42.64	$57.09	$92.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $55.82 / $83.73	Professional		$46.52	$55.82	$83.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $78.14 / $422.00	Facility		$28.81	$78.14	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $69.55 / $110.47	Professional		$42.58	$69.55	$110.47
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 $58.58 / $82.70 / $136.01	Professional		$58.58	$82.70	$136.01