Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $173.78	Facility		$91.20	$151.36	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $141.25	Professional		$85.11	$100.00	$141.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $138.04	Professional		$75.86	$91.20	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $125.89 / $151.36	Facility		$91.20	$125.89	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $154.88	Professional		$93.33	$131.83	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $169.82	Facility		$34.67	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $467.74	Professional		$104.71	$177.83	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $186.21	Professional		$85.11	$125.89	$186.21