Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.80 / $322.24 / $4,846.00	Facility		$300.80	$322.24	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $315.61 / $411.73	Professional		$268.52	$315.61	$411.73
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 $303.20 / $448.40 / $618.79	Professional		$303.20	$448.40	$618.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.44 / $317.92 / $368.51	Facility		$249.44	$317.92	$368.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $293.45 / $366.83	Professional		$256.77	$293.45	$366.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.97 / $411.20 / $795.31	Professional		$279.97	$411.20	$795.31
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 $254.30 / $343.84 / $544.02	Professional		$254.30	$343.84	$544.02