Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $331.37 / $7,212.00	Facility		$178.35	$331.37	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $251.39 / $388.35	Professional		$174.67	$251.39	$388.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,353.00 / $8,052.00	Facility		$1,749.00	$4,353.00	$8,052.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $186.07 / $286.04	Professional		$134.00	$186.07	$286.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $214.37 / $382.87	Facility		$164.90	$214.37	$382.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.14 / $331.37 / $414.21	Professional		$276.14	$331.37	$414.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.36 / $166.36 / $538.00	Facility		$166.36	$166.36	$538.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $272.37 / $495.83	Professional		$181.31	$272.37	$495.83
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,174.00 / $4,426.00	Facility		$500.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.70 / $309.81 / $539.04	Professional		$227.70	$309.81	$539.04