Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $592.79 / $1,402.20	Facility		$380.00	$592.79	$1,402.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $311.60 / $311.60	Professional		$311.60	$311.60	$311.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.20 / $380.00 / $1,246.40	Facility		$300.20	$380.00	$1,246.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.12 / $1,246.40 / $1,679.15	Professional		$997.12	$1,246.40	$1,679.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $494.00 / $608.00	Facility		$380.00	$494.00	$608.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $456.00 / $570.00	Professional		$380.00	$456.00	$570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $380.00 / $847.33	Facility		$247.00	$380.00	$847.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $554.92 / $1,645.25	Professional		$463.17	$554.92	$1,645.25
United Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $380.00 / $456.00	Facility		$380.00	$380.00	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $228.00 / $417.62	Professional		$159.60	$228.00	$417.62