Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.77 / $446.99 / $4,846.00	Facility		$371.77	$446.99	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.04 / $375.95 / $448.46	Professional		$349.04	$375.95	$448.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,769.00 / $8,637.62 / $12,441.54	Facility		$3,769.00	$8,637.62	$12,441.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $543.82 / $750.47	Professional		$415.97	$543.82	$750.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.94 / $484.24 / $558.74	Facility		$379.94	$484.24	$558.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $428.36 / $558.74	Professional		$372.49	$428.36	$558.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.89 / $480.53 / $850.99	Professional		$391.89	$480.53	$850.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $485.08 / $723.70	Professional		$384.00	$485.08	$723.70