Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $543.00 / $5,634.00	Facility		$227.00	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $229.74 / $306.45	Professional		$201.80	$229.74	$306.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,747.00	Facility		$1,636.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $222.80 / $307.45	Professional		$165.12	$222.80	$307.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.63 / $316.55 / $474.83	Facility		$230.63	$316.55	$474.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $273.12 / $409.68	Professional		$227.60	$273.12	$409.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,123.45 / $1,123.45 / $1,331.74	Facility		$1,123.45	$1,123.45	$1,331.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.85 / $271.14 / $448.21	Professional		$216.85	$271.14	$448.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,874.00 / $5,490.00	Facility		$2,400.00	$3,874.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.70 / $247.80 / $437.52	Professional		$187.70	$247.80	$437.52