Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $1,193.16 / $5,634.00	Facility		$72.23	$1,193.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $76.77 / $101.85	Professional		$72.23	$76.77	$101.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $100.40 / $142.56	Professional		$80.31	$100.40	$142.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $92.66 / $106.92	Facility		$72.70	$92.66	$106.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $81.97 / $106.92	Professional		$71.28	$81.97	$106.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.40 / $1,286.40 / $1,286.40	Facility		$1,286.40	$1,286.40	$1,286.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $106.81 / $172.36	Professional		$79.45	$106.81	$172.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $93.66 / $212.62	Professional		$68.70	$93.66	$212.62