Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.75 / $476.79 / $7,212.00	Facility		$137.75	$476.79	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $184.75 / $222.07	Professional		$137.75	$184.75	$222.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $5,126.00 / $8,240.00	Facility		$2,234.00	$5,126.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $222.90 / $357.31	Professional		$143.02	$222.90	$357.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.62 / $167.75 / $247.05	Facility		$131.62	$167.75	$247.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.63 / $207.72 / $270.95	Professional		$180.63	$207.72	$270.95
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 $150.82 / $237.35 / $405.87	Professional		$150.82	$237.35	$405.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $6,094.00 / $10,413.00	Facility		$3,364.00	$6,094.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $224.78 / $390.78	Professional		$174.93	$224.78	$390.78