Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $309.02 / $5,634.00	Facility		$118.96	$309.02	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $189.38 / $265.80	Professional		$118.96	$189.38	$265.80
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 $101.64 / $165.02 / $310.19	Professional		$101.64	$165.02	$310.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $144.66 / $251.11	Facility		$113.51	$144.66	$251.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.85 / $219.42 / $274.27	Professional		$182.85	$219.42	$274.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $949.22 / $949.22	Facility		$949.22	$949.22	$949.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $202.52 / $399.38	Professional		$116.21	$202.52	$399.38
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 $184.44 / $225.09 / $393.20	Professional		$184.44	$225.09	$393.20