Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.19 / $1,386.00 / $5,500.00	Facility		$307.19	$1,386.00	$5,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $321.50 / $414.83	Professional		$278.56	$321.50	$414.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.00 / $5,275.16 / $8,063.00	Facility		$3,278.00	$5,275.16	$8,063.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $258.50 / $356.73	Professional		$206.80	$258.50	$356.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $324.68 / $374.63	Facility		$254.75	$324.68	$374.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $299.70 / $374.63	Professional		$262.24	$299.70	$374.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $374.63 / $593.15	Professional		$277.51	$374.63	$593.15
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 $267.02 / $347.20 / $546.13	Professional		$267.02	$347.20	$546.13