Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $244.77 / $5,634.00	Facility		$14.33	$244.77	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $25.81 / $41.74	Professional		$13.35	$25.81	$41.74
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 $12.29 / $21.69 / $36.32	Professional		$12.29	$21.69	$36.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $18.43 / $32.53 / $54.49	Professional	50	$18.43	$32.53	$54.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $15.85 / $18.48	Facility		$13.21	$15.85	$18.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $32.90 / $40.38	Professional		$29.91	$32.90	$40.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $27.89 / $46.67	Professional		$15.94	$27.89	$46.67
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 $25.17 / $31.05 / $50.82	Professional		$25.17	$31.05	$50.82