Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $53.59 / $62.95	Facility		$53.59	$53.59	$62.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $57.97 / $63.41	Professional		$53.59	$57.97	$63.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $7,155.00 / $14,621.00	Facility		$76.76	$7,155.00	$14,621.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $76.76 / $103.62	Professional		$55.00	$76.76	$103.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.20 / $58.88 / $67.94	Facility		$46.20	$58.88	$67.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $54.35 / $67.94	Professional		$47.55	$54.35	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $78.33 / $164.09	Professional		$58.27	$78.33	$164.09
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $69.95 / $115.54	Professional		$54.04	$69.95	$115.54