Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $104.88 / $4,846.00	Facility		$76.33	$104.88	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $78.09 / $103.67	Professional		$65.90	$78.09	$103.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.89 / $2,311.87 / $8,240.00	Facility		$1,515.89	$2,311.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $91.90 / $126.82	Professional		$73.40	$91.90	$126.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $80.68 / $93.09	Facility		$63.30	$80.68	$93.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $74.47 / $93.09	Professional		$65.16	$74.47	$93.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $98.28 / $214.25	Professional		$76.61	$98.28	$214.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $12,027.00	Facility		$1,403.00	$5,242.00	$12,027.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $91.02 / $136.49	Professional		$65.34	$91.02	$136.49