Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $543.00 / $5,634.00	Facility		$104.73	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $225.46 / $314.02	Professional		$101.11	$225.46	$314.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,445.00	Facility		$1,682.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $194.60 / $268.54	Professional		$146.22	$194.60	$268.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $124.59 / $352.50	Facility		$97.76	$124.59	$352.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.01 / $303.61 / $379.52	Professional		$253.01	$303.61	$379.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.70 / $279.70 / $279.70	Facility		$279.70	$279.70	$279.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $241.27 / $540.00	Professional		$123.48	$241.27	$540.00
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 $249.35 / $364.08 / $548.29	Professional		$249.35	$364.08	$548.29