Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $425.34 / $5,634.00	Facility		$116.80	$425.34	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $136.31 / $165.49	Professional		$116.64	$136.31	$165.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $147.68 / $209.71	Professional		$111.60	$147.68	$209.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.60 / $165.46 / $218.58	Facility		$113.60	$165.46	$218.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $190.31 / $229.51	Professional		$158.59	$190.31	$229.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.32 / $287.32 / $287.32	Facility		$287.32	$287.32	$287.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $177.44 / $273.14	Professional		$135.43	$177.44	$273.14
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 $132.63 / $173.56 / $277.00	Professional		$132.63	$173.56	$277.00