Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $114.89 / $4,846.00	Facility		$13.63	$114.89	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $24.18 / $125.23	Professional		$13.63	$24.18	$125.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $21.13 / $40.78	Facility		$21.13	$21.13	$40.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $58.08 / $95.83	Professional		$21.13	$58.08	$95.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $16.77 / $149.08	Facility		$11.51	$16.77	$149.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $106.02 / $132.53	Professional		$88.35	$106.02	$132.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $88.09 / $118.78	Professional		$25.68	$88.09	$118.78
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 $73.26 / $99.46 / $164.11	Professional		$73.26	$99.46	$164.11