Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.85 / $2,306.69 / $8,325.23	Facility		$159.85	$2,306.69	$8,325.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $190.60 / $320.00	Professional		$127.00	$190.60	$320.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,804.00 / $4,353.00 / $8,052.00	Facility		$1,804.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $224.20 / $333.78	Professional		$179.36	$224.20	$333.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $166.39 / $194.12	Facility		$138.66	$166.39	$194.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.74 / $229.61 / $281.80	Professional		$208.74	$229.61	$281.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $439.96 / $439.96	Facility		$439.96	$439.96	$439.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $246.49 / $350.93	Professional		$161.69	$246.49	$350.93
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $2,291.00 / $4,426.00	Facility		$899.00	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $241.97 / $380.20	Professional		$179.72	$241.97	$380.20