Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.85 / $1,386.00 / $5,634.00	Facility		$301.85	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.73 / $301.85 / $373.72	Professional		$269.73	$301.85	$373.72
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 $220.06 / $258.89 / $364.98	Professional		$220.06	$258.89	$364.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.48 / $358.75 / $413.94	Facility		$281.48	$358.75	$413.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $316.66 / $413.94	Professional		$275.95	$316.66	$413.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Facility		$881.00	$881.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.57 / $331.21 / $583.05	Professional		$259.57	$331.21	$583.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $321.67 / $510.99	Professional		$258.20	$321.67	$510.99