Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $3,500.00 / $5,634.00	Facility		$45.06	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $45.06 / $62.58	Professional		$39.42	$45.06	$62.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $137.21 / $189.34	Professional		$109.76	$137.21	$189.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $1,338.84 / $16,433.53	Facility		$89.26	$1,338.84	$16,433.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $78.09 / $111.57	Professional		$78.09	$78.09	$111.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $153.94 / $181.12	Professional		$34.19	$153.94	$181.12
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 $18.30 / $22.83 / $40.32	Professional		$18.30	$22.83	$40.32