Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.12 / $231.88 / $5,634.00	Facility		$121.12	$231.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $186.71 / $269.51	Professional		$117.95	$186.71	$269.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $169.31 / $292.32	Professional		$102.37	$169.31	$292.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $145.35 / $267.54	Facility		$114.05	$145.35	$267.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $221.73 / $289.85	Professional		$193.23	$221.73	$289.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.27 / $213.27 / $213.27	Facility		$213.27	$213.27	$213.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.44 / $185.80 / $423.16	Professional		$119.44	$185.80	$423.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $232.08 / $557.14	Professional		$173.60	$232.08	$557.14