Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,467.37 / $4,897.79	Facility		$173.78	$3,467.37	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $302.00	Professional		$109.65	$131.83	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $10,471.29	Facility		$4,265.80	$8,317.64	$10,471.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $416.87	Professional		$117.49	$234.42	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $134.90	Facility		$112.20	$117.49	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $257.04	Professional		$120.23	$169.82	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $12,022.64	Facility		$1,412.54	$5,754.40	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $229.09	Professional		$112.20	$144.54	$229.09