Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $215.80 / $5,634.00	Facility		$72.03	$215.80	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $107.28 / $135.66	Professional		$72.03	$107.28	$135.66
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 $75.90 / $108.51 / $162.03	Professional		$75.90	$108.51	$162.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $104.35 / $174.91	Facility		$71.64	$104.35	$174.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $135.66 / $183.65	Professional		$127.69	$135.66	$183.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $123.18 / $216.97	Professional		$77.16	$123.18	$216.97
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 $103.76 / $136.84 / $281.89	Professional		$103.76	$136.84	$281.89