Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $186.41 / $5,634.00	Facility		$60.43	$186.41	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $103.80 / $124.48	Professional		$58.91	$103.80	$124.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $86.87 / $129.51	Professional		$52.00	$86.87	$129.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $72.44 / $151.96	Facility		$49.73	$72.44	$151.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $132.36 / $159.55	Professional		$110.30	$132.36	$159.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $99.27 / $99.27	Facility		$99.27	$99.27	$99.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $112.38 / $203.97	Professional		$68.80	$112.38	$203.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $132.36 / $195.91	Professional		$93.92	$132.36	$195.91