Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $1,386.00 / $4,846.00	Facility		$270.20	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.58 / $270.20 / $334.53	Professional		$263.58	$270.20	$334.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.00 / $12,775.00 / $30,091.00	Facility		$1,935.00	$12,775.00	$30,091.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.90 / $1,569.30 / $2,228.40	Professional		$1,333.90	$1,569.30	$2,228.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.81 / $367.37 / $676.57	Facility		$249.81	$367.37	$676.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $293.89 / $417.88	Professional		$244.91	$293.89	$417.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $371.01 / $1,760.76	Professional		$278.27	$371.01	$1,760.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.38 / $341.84 / $526.20	Professional		$269.38	$341.84	$526.20