Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.07 / $258.82 / $4,846.00	Facility		$230.07	$258.82	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $244.80 / $324.29	Professional		$220.91	$244.80	$324.29
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 $178.20 / $209.65 / $302.60	Professional		$178.20	$209.65	$302.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.17 / $274.52 / $316.76	Facility		$211.17	$274.52	$316.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.17 / $253.40 / $316.76	Professional		$211.17	$253.40	$316.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $276.41 / $761.00	Facility		$276.41	$276.41	$761.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.61 / $310.14 / $493.38	Professional		$250.61	$310.14	$493.38
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 $218.11 / $280.22 / $475.34	Professional		$218.11	$280.22	$475.34