Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.93 / $445.90 / $11,093.00	Facility		$112.93	$445.90	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $153.72 / $173.25	Professional		$112.93	$153.72	$173.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $152.93 / $295.14	Facility		$152.93	$152.93	$295.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $160.30 / $229.66	Professional		$129.99	$160.30	$229.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $159.78 / $226.85	Facility		$109.70	$159.78	$226.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $199.74 / $238.20	Professional		$166.45	$199.74	$238.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $190.67 / $277.44	Professional		$140.28	$190.67	$277.44
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 $147.52 / $186.15 / $298.20	Professional		$147.52	$186.15	$298.20