Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.36 / $276.58 / $7,212.00	Facility		$91.36	$276.58	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $159.03 / $254.87	Professional		$91.36	$159.03	$254.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $204.58 / $290.50	Professional		$121.21	$204.58	$290.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $115.28 / $212.69	Facility		$88.68	$115.28	$212.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $185.51 / $231.89	Professional		$154.59	$185.51	$231.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.02 / $127.02 / $150.57	Facility		$127.02	$127.02	$150.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $239.61 / $405.18	Professional		$119.30	$239.61	$405.18
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 $227.35 / $294.45 / $564.86	Professional		$227.35	$294.45	$564.86