Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $370.03 / $7,212.00	Facility		$128.13	$370.03	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $178.88 / $220.87	Professional		$128.13	$178.88	$220.87
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 $136.63 / $184.08 / $266.01	Professional		$136.63	$184.08	$266.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.47 / $182.75 / $292.38	Facility		$125.47	$182.75	$292.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.65 / $256.38 / $307.00	Professional		$213.65	$256.38	$307.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.48 / $192.48 / $192.48	Facility		$192.48	$192.48	$192.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.35 / $216.02 / $336.79	Professional		$138.35	$216.02	$336.79
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 $180.27 / $241.85 / $375.73	Professional		$180.27	$241.85	$375.73