Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $415.18 / $11,093.00	Facility		$86.90	$415.18	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $142.13 / $160.76	Professional		$86.90	$142.13	$160.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,140.00 / $5,948.00 / $10,303.00	Facility		$2,140.00	$5,948.00	$10,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $146.11 / $210.48	Professional		$99.81	$146.11	$210.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.44 / $124.45 / $213.58	Facility		$85.44	$124.45	$213.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $186.10 / $224.26	Professional		$155.08	$186.10	$224.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $169.03 / $247.63	Professional		$107.99	$169.03	$247.63
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 $140.21 / $186.94 / $291.95	Professional		$140.21	$186.94	$291.95