Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $124.93 / $5,634.00	Facility		$48.61	$124.93	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $57.82 / $72.78	Professional		$49.11	$57.82	$72.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.37 / $76.37 / $147.38	Facility		$76.37	$76.37	$147.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $74.06 / $105.39	Professional		$49.60	$74.06	$105.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $65.94 / $98.91	Facility		$48.04	$65.94	$98.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $65.95 / $94.97	Professional		$52.76	$65.95	$94.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.37 / $86.37 / $86.37	Facility		$86.37	$86.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $70.29 / $527.42	Professional		$48.02	$70.29	$527.42
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,174.00 / $4,426.00	Facility		$933.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $66.95 / $123.00	Professional		$57.61	$66.95	$123.00