Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.26 / $148.01 / $4,846.00	Facility		$139.26	$148.01	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $145.88 / $188.24	Professional		$127.26	$145.88	$188.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $15,205.00 / $25,750.00	Facility		$1,521.00	$15,205.00	$25,750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $347.50 / $469.12	Professional		$144.59	$347.50	$469.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $147.19 / $170.63	Facility		$115.48	$147.19	$170.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $135.86 / $169.83	Professional		$118.88	$135.86	$169.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $288.27 / $518.28	Professional		$145.05	$288.27	$518.28
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 $123.67 / $169.83 / $286.55	Professional		$123.67	$169.83	$286.55