Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $119.46 / $4,846.00	Facility		$106.88	$119.46	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $113.45 / $150.65	Professional		$102.43	$113.45	$150.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $11,226.46 / $15,429.17	Facility		$4,600.00	$11,226.46	$15,429.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.76 / $152.00 / $205.20	Professional		$106.76	$152.00	$205.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.05 / $127.47 / $147.08	Facility		$98.05	$127.47	$147.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.05 / $117.66 / $147.08	Professional		$98.05	$117.66	$147.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $761.00	Facility		$127.87	$127.87	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $145.88 / $233.26	Professional		$116.16	$145.88	$233.26
United Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $5,076.00 / $10,396.00	Facility		$612.00	$5,076.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $127.04 / $215.38	Professional		$100.92	$127.04	$215.38