Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $1,386.00 / $4,846.00	Facility		$65.93	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $65.93 / $112.37	Professional		$53.29	$65.93	$112.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.08 / $196.08 / $378.43	Facility		$196.08	$196.08	$378.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $196.08 / $264.70	Professional		$152.77	$196.08	$264.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.81 / $190.29 / $2,395.50	Facility		$125.81	$190.29	$2,395.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $169.14 / $176.19	Professional		$98.67	$169.14	$176.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $258.83 / $258.83	Professional		$220.01	$258.83	$258.83
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 $86.52 / $108.49 / $192.84	Professional		$86.52	$108.49	$192.84