Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.59 / $1,386.00 / $4,846.00	Facility		$82.59	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $82.59 / $95.02	Professional		$81.04	$82.59	$95.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $17,341.00 / $101,862.00	Facility		$126.90	$17,341.00	$101,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $126.90 / $179.00	Professional		$84.72	$126.90	$179.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $69.63 / $105.14	Facility		$19.89	$69.63	$105.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $64.27 / $91.18	Professional		$17.62	$64.27	$91.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $117.32 / $351.12	Professional		$89.74	$117.32	$351.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $4,308.00 / $19,925.00	Facility		$2,400.00	$4,308.00	$19,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $109.29 / $245.69	Professional		$77.40	$109.29	$245.69