Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $2,398.83 / $6,025.60	Facility		$30.20	$2,398.83	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $87.10	Professional		$30.20	$30.20	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $223.87 / $512.86	Facility		$38.02	$223.87	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $60.26	Facility		$30.20	$45.71	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $43.65	Professional		$30.20	$30.20	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $125.89	Professional		$45.71	$53.70	$125.89