Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.35 / $912.85 / $7,212.00	Facility		$345.35	$912.85	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $476.27 / $646.47	Professional		$345.35	$476.27	$646.47
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 $374.26 / $490.34 / $716.44	Professional		$374.26	$490.34	$716.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.55 / $491.67 / $742.04	Facility		$337.55	$491.67	$742.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.15 / $648.17 / $779.14	Professional		$540.15	$648.17	$779.14
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 $407.43 / $586.72 / $893.49	Professional		$407.43	$586.72	$893.49
United Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $2,291.00 / $4,426.00	Facility		$737.03	$2,291.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.66 / $580.47 / $942.89	Professional		$465.66	$580.47	$942.89