Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.05 / $1,386.00 / $5,634.00	Facility		$107.05	$1,386.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $107.05 / $265.08	Professional		$91.01	$107.05	$265.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,677.00 / $5,608.00	Facility		$1,682.00	$3,677.00	$5,608.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $263.58 / $619.01	Professional		$143.40	$263.58	$619.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $108.56 / $125.27	Facility		$85.18	$108.56	$125.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $100.21 / $125.27	Professional		$85.18	$100.21	$125.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.52 / $847.52 / $847.52	Facility		$847.52	$847.52	$847.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $198.32 / $517.41	Professional		$106.03	$198.32	$517.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $2,854.00 / $4,271.00	Facility		$1,638.00	$2,854.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $181.85 / $551.20	Professional		$91.17	$181.85	$551.20