Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $543.00 / $18,147.36	Facility		$128.27	$543.00	$18,147.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $197.75 / $287.04	Professional		$126.41	$197.75	$287.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $5,757.57 / $8,240.00	Facility		$800.00	$5,757.57	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $146.66 / $227.76	Professional		$95.72	$146.66	$227.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $153.24 / $283.57	Facility		$117.88	$153.24	$283.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $244.88 / $306.11	Professional		$204.07	$244.88	$306.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $218.49 / $402.00	Facility		$216.48	$218.49	$402.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $207.41 / $365.02	Professional		$131.55	$207.41	$365.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,027.00 / $5,242.00	Facility		$1,000.00	$3,027.00	$5,242.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.63 / $228.65 / $384.69	Professional		$178.63	$228.65	$384.69