Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $579.23 / $7,212.00	Facility		$177.25	$579.23	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $257.94 / $421.57	Professional		$177.25	$257.94	$421.57
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 $183.71 / $264.63 / $389.64	Professional		$183.71	$264.63	$389.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $253.27 / $471.42	Facility		$173.88	$253.27	$471.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $411.29 / $494.99	Professional		$342.74	$411.29	$494.99
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 $205.82 / $308.55 / $510.49	Professional		$205.82	$308.55	$510.49
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 $256.31 / $350.38 / $593.01	Professional		$256.31	$350.38	$593.01