Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $133.34 / $21,067.00	Facility		$55.46	$133.34	$21,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $55.46 / $55.46	Professional		$55.46	$55.46	$55.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.09 / $102.18 / $132.88	Facility		$51.09	$102.18	$132.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $66.73 / $94.75	Professional		$56.72	$66.73	$94.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $4,766.85 / $39,374.61	Facility		$73.48	$4,766.85	$39,374.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34,124.66 / $34,124.66 / $34,124.66	Professional		$34,124.66	$34,124.66	$34,124.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $69.33	Professional		$58.93	$58.93	$69.33
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $77.18	Professional		$57.78	$57.78	$77.18