Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.58 / $3,500.00 / $5,634.00	Facility		$151.58	$3,500.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $157.62 / $204.38	Professional		$151.58	$157.62	$204.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.86 / $80.86 / $156.06	Facility		$80.86	$80.86	$156.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $145.54 / $351.12	Professional		$68.73	$145.54	$351.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.74 / $218.04 / $26,999.73	Facility		$164.74	$218.04	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $193.81 / $28,349.72	Professional		$161.51	$193.81	$28,349.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $226.57 / $351.12	Professional		$172.84	$226.57	$351.12
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 $169.49 / $262.85 / $383.77	Professional		$169.49	$262.85	$383.77