Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $234.42	Facility		$134.90	$162.18	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $245.47	Professional		$104.71	$134.90	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,466.84 / $8,709.64	Facility		$2,454.71	$4,466.84	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $177.83	Professional		$89.13	$109.65	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $128.82	Facility		$102.33	$112.20	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Facility		$91.20	$91.20	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $251.19	Professional		$114.82	$158.49	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,137.96 / $5,754.40	Facility		$131.83	$2,137.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $245.47	Professional		$102.33	$141.25	$245.47