Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $824.00 / $5,634.00	Facility		$54.95	$824.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $100.28 / $144.80	Professional		$52.95	$100.28	$144.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,230.00 / $8,240.00	Facility		$970.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.47 / $86.12 / $142.11	Professional		$46.47	$86.12	$142.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $85.53 / $157.50	Facility		$59.40	$85.53	$157.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $148.28 / $205.31	Professional		$119.76	$148.28	$205.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.55 / $123.55 / $123.55	Facility		$123.55	$123.55	$123.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $119.42 / $251.18	Professional		$62.32	$119.42	$251.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,932.00 / $8,025.00 / $11,038.00	Facility		$3,932.00	$8,025.00	$11,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $134.56 / $247.20	Professional		$113.04	$134.56	$247.20