Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.91 / $454.66 / $5,634.00	Facility		$176.91	$454.66	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $181.89 / $238.83	Professional		$157.44	$181.89	$238.83
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 $134.21 / $217.53 / $300.19	Professional		$134.21	$217.53	$300.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.36 / $234.47 / $270.54	Facility		$180.36	$234.47	$270.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $213.22 / $266.52	Professional		$177.68	$213.22	$266.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.09 / $159.09 / $188.59	Facility		$159.09	$159.09	$188.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $222.29 / $364.34	Professional		$173.20	$222.29	$364.34
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 $147.84 / $192.00 / $339.84	Professional		$147.84	$192.00	$339.84