Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $543.00 / $8,520.44	Facility		$110.26	$543.00	$8,520.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $137.96 / $195.56	Professional		$98.05	$137.96	$195.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.00 / $5,757.57 / $8,388.00	Facility		$1,153.00	$5,757.57	$8,388.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $107.70 / $154.83	Professional		$81.23	$107.70	$154.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $140.88 / $210.06	Facility		$96.73	$140.88	$210.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $183.38 / $220.56	Professional		$152.82	$183.38	$220.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.05 / $143.05 / $143.05	Facility		$143.05	$143.05	$143.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $159.18 / $235.40	Professional		$112.99	$159.18	$235.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.10 / $162.78 / $272.23	Professional		$128.10	$162.78	$272.23