Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $172.25 / $7,212.00	Facility		$107.10	$172.25	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $150.30 / $201.85	Professional		$104.65	$150.30	$201.85
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 $85.51 / $129.19 / $192.88	Professional		$85.51	$129.19	$192.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $129.61 / $198.81	Facility		$99.70	$129.61	$198.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $172.25 / $215.31	Professional		$143.54	$172.25	$215.31
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 $112.01 / $166.54 / $313.58	Professional		$112.01	$166.54	$313.58
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 $136.56 / $170.36 / $278.74	Professional		$136.56	$170.36	$278.74