Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.42 / $558.10 / $4,846.00	Facility		$519.42	$558.10	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.80 / $546.03 / $704.55	Professional		$474.80	$546.03	$704.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,646.00 / $24,214.00 / $45,778.00	Facility		$1,646.00	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.12 / $683.84 / $923.18	Professional		$487.12	$683.84	$923.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.75 / $548.99 / $633.45	Facility		$430.75	$548.99	$633.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.42 / $506.76 / $633.45	Professional		$443.42	$506.76	$633.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.73 / $672.95 / $1,080.00	Professional		$475.73	$672.95	$1,080.00
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 $463.63 / $623.47 / $995.49	Professional		$463.63	$623.47	$995.49