Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $66.69 / $85.07	Facility		$66.69	$66.69	$85.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $66.69 / $282.72	Professional		$66.69	$66.69	$282.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $9,270.00	Facility		$856.00	$4,320.00	$9,270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $176.16 / $250.14	Professional		$56.78	$176.16	$250.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $62.37 / $71.97	Facility		$48.94	$62.37	$71.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $55.18 / $71.97	Professional		$50.38	$55.18	$71.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $264.20 / $461.31	Professional		$99.93	$264.20	$461.31
United Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $82.14 / $308.18	Professional		$47.65	$82.14	$308.18