Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $98.92 / $7,954.00	Facility		$59.48	$98.92	$7,954.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $82.95 / $98.92	Professional		$59.48	$82.95	$98.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $116.97 / $190.17	Professional		$74.56	$116.97	$190.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.91 / $75.08 / $109.69	Facility		$58.91	$75.08	$109.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $92.85 / $120.63	Professional		$80.42	$92.85	$120.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $56.35 / $56.35	Facility		$56.35	$56.35	$56.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $103.25 / $190.17	Professional		$68.18	$103.25	$190.17
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $100.86 / $161.84	Professional		$79.45	$100.86	$161.84