Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $543.00 / $5,634.00	Facility		$20.75	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $27.07 / $36.50	Professional		$20.75	$27.07	$36.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $949.00 / $2,956.00	Facility		$25.96	$949.00	$2,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $29.70 / $40.22	Professional		$22.06	$29.70	$40.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $29.22 / $39.90	Facility		$20.05	$29.22	$39.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $35.57 / $41.90	Professional		$29.64	$35.57	$41.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $35.32 / $52.67	Professional		$26.13	$35.32	$52.67
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 $27.22 / $36.76 / $59.94	Professional		$27.22	$36.76	$59.94