Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $299.83	Facility		$49.47	$49.47	$299.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $299.83 / $315.00	Professional		$263.62	$299.83	$315.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $243.13 / $1,000.00	Facility		$108.00	$243.13	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $108.00 / $163.40	Professional		$9.92	$108.00	$163.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,416.73 / $75,936.74 / $109,686.40	Facility		$16,416.73	$75,936.74	$109,686.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36,749.62 / $36,749.62 / $36,749.62	Professional		$36,749.62	$36,749.62	$36,749.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $125.85	Facility		$49.47	$49.47	$125.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.81 / $142.56	Professional		$109.45	$136.81	$142.56
United Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $49.47	Facility		$49.47	$49.47	$49.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $21.46 / $40.22	Professional		$21.46	$21.46	$40.22