Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $448.05 / $5,634.00	Facility		$147.79	$448.05	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $166.79 / $183.76	Professional		$143.26	$166.79	$183.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,230.00 / $8,240.00	Facility		$970.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $139.60 / $198.23	Professional		$118.66	$139.60	$198.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $188.63 / $231.50	Facility		$148.00	$188.63	$231.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $203.10 / $253.88	Professional		$169.25	$203.10	$253.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $881.00 / $881.00	Facility		$881.00	$881.00	$881.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $191.49 / $344.59	Professional		$153.88	$191.49	$344.59
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 $142.68 / $180.09 / $305.58	Professional		$142.68	$180.09	$305.58