Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $230.98 / $5,634.00	Facility		$121.07	$230.98	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $184.21 / $268.50	Professional		$113.12	$184.21	$268.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,840.00 / $7,036.00	Facility		$1,636.00	$3,840.00	$7,036.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $139.57 / $219.75	Professional		$84.65	$139.57	$219.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $145.54 / $266.92	Facility		$111.95	$145.54	$266.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.48 / $230.98 / $288.72	Professional		$192.48	$230.98	$288.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $402.00 / $1,868.80	Facility		$204.52	$402.00	$1,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $197.00 / $346.46	Professional		$125.63	$197.00	$346.46
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $3,817.00 / $5,402.00	Facility		$900.00	$3,817.00	$5,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.32 / $217.24 / $411.09	Professional		$173.32	$217.24	$411.09