Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $132.22 / $4,846.00	Facility		$57.66	$132.22	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $109.84 / $184.03	Professional		$56.32	$109.84	$184.03
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 $50.51 / $59.43 / $84.39	Professional		$50.51	$59.43	$84.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $89.91 / $177.90	Facility		$62.44	$89.91	$177.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $165.56 / $229.23	Professional		$133.72	$165.56	$229.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.19 / $142.19 / $142.19	Facility		$142.19	$142.19	$142.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $123.89 / $282.61	Professional		$69.45	$123.89	$282.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,241.41 / $3,027.00 / $5,402.00	Facility		$1,241.41	$3,027.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $151.80 / $272.97	Professional		$119.76	$151.80	$272.97