Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $325.42 / $5,634.00	Facility		$149.71	$325.42	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $261.67 / $405.06	Professional		$148.32	$261.67	$405.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.20 / $9,644.00 / $13,776.00	Facility		$318.20	$9,644.00	$13,776.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $262.14 / $492.46	Professional		$140.13	$262.14	$492.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.93 / $177.00 / $338.63	Facility		$122.93	$177.00	$338.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $316.33 / $438.02	Professional		$255.51	$316.33	$438.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $447.36 / $808.04	Professional		$176.81	$447.36	$808.04
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.43 / $439.50 / $657.26	Professional		$288.43	$439.50	$657.26