Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $113.50 / $4,846.00	Facility		$84.65	$113.50	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $109.23 / $143.38	Professional		$84.49	$109.23	$143.38
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 $68.90 / $112.48 / $189.96	Professional		$68.90	$112.48	$189.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $104.79 / $144.99	Facility		$82.22	$104.79	$144.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $122.27 / $159.83	Professional		$106.55	$122.27	$159.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $99.27 / $99.27	Facility		$99.27	$99.27	$99.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $123.92 / $234.49	Professional		$77.12	$123.92	$234.49
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 $100.76 / $127.86 / $219.65	Professional		$100.76	$127.86	$219.65