Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $185.16 / $5,634.00	Facility		$110.62	$185.16	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $147.47 / $196.14	Professional		$110.62	$147.47	$196.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $3,896.00 / $8,230.00	Facility		$949.00	$3,896.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $146.85 / $261.22	Professional		$92.46	$146.85	$261.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.96 / $132.50 / $207.35	Facility		$103.96	$132.50	$207.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $180.65 / $225.81	Professional		$150.54	$180.65	$225.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $114.44 / $114.44	Facility		$114.44	$114.44	$114.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $173.51 / $299.39	Professional		$126.76	$173.51	$299.39
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 $141.47 / $176.99 / $279.55	Professional		$141.47	$176.99	$279.55