Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.15 / $485.22 / $4,846.00	Facility		$353.15	$485.22	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.15 / $420.38 / $477.39	Professional		$353.15	$420.38	$477.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $11,550.60 / $16,722.95	Facility		$4,800.00	$11,550.60	$16,722.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.54 / $673.00 / $928.74	Professional		$504.54	$673.00	$928.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.05 / $401.95 / $646.01	Facility		$305.05	$401.95	$646.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.47 / $373.24 / $516.79	Professional		$301.47	$373.24	$516.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.70 / $683.56 / $1,118.03	Professional		$411.70	$683.56	$1,118.03
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 $341.67 / $555.66 / $1,092.15	Professional		$341.67	$555.66	$1,092.15