Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $317.47 / $5,634.00	Facility		$108.77	$317.47	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $167.05 / $194.49	Professional		$108.77	$167.05	$194.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $159.19 / $235.18	Professional		$117.11	$159.19	$235.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $156.19 / $257.12	Facility		$107.23	$156.19	$257.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.85 / $225.42 / $269.98	Professional		$187.85	$225.42	$269.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.70 / $174.70 / $174.70	Facility		$174.70	$174.70	$174.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $184.64 / $288.31	Professional		$117.70	$184.64	$288.31
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 $158.07 / $204.44 / $321.60	Professional		$158.07	$204.44	$321.60