Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.99 / $1,386.00 / $11,093.00	Facility		$178.99	$1,386.00	$11,093.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $178.99 / $193.33	Professional		$173.69	$178.99	$193.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $10,338.00 / $26,304.00	Facility		$2,310.00	$10,338.00	$26,304.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $213.13 / $302.64	Professional		$170.50	$213.13	$302.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $219.35 / $253.10	Facility		$172.10	$219.35	$253.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $202.48 / $253.10	Professional		$168.73	$202.48	$253.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,370.92 / $3,370.92 / $3,370.92	Facility		$3,370.92	$3,370.92	$3,370.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.84 / $248.45 / $414.42	Professional		$199.84	$248.45	$414.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,699.00 / $10,000.00 / $15,750.00	Facility		$4,699.00	$10,000.00	$15,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $226.86 / $396.59	Professional		$190.61	$226.86	$396.59