Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.06 / $759.66 / $5,634.00	Facility		$425.06	$759.66	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.10 / $453.16 / $573.83	Professional		$394.10	$453.16	$573.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.44 / $546.35 / $753.96	Professional		$357.44	$546.35	$753.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.54 / $585.45 / $878.18	Facility		$426.54	$585.45	$878.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.50 / $539.40 / $809.10	Professional		$449.50	$539.40	$809.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $172.79 / $204.82	Facility		$172.79	$172.79	$204.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.25 / $549.78 / $927.10	Professional		$433.25	$549.78	$927.10
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 $382.53 / $505.26 / $880.54	Professional		$382.53	$505.26	$880.54