Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.09 / $834.00 / $11,093.00	Facility		$126.09	$834.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $257.39 / $339.19	Professional		$126.08	$257.39	$339.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.00 / $5,948.00 / $9,462.00	Facility		$2,754.00	$5,948.00	$9,462.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $155.62 / $220.98	Professional		$102.50	$155.62	$220.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $152.37 / $374.37	Facility		$119.55	$152.37	$374.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $319.95 / $399.95	Professional		$266.63	$319.95	$399.95
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 $120.63 / $217.27 / $477.88	Professional		$120.63	$217.27	$477.88
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 $226.52 / $304.56 / $516.03	Professional		$226.52	$304.56	$516.03