Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $543.00 / $5,634.00	Facility		$149.72	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $198.97 / $283.25	Professional		$137.44	$198.97	$283.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $3,677.00 / $5,445.00	Facility		$1,399.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $200.08 / $276.11	Professional		$125.98	$200.08	$276.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.35 / $186.36 / $298.58	Facility		$143.35	$186.36	$298.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.12 / $259.33 / $324.18	Professional		$216.12	$259.33	$324.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.52 / $640.52 / $759.27	Facility		$640.52	$640.52	$759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $262.91 / $473.85	Professional		$157.74	$262.91	$473.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $3,267.00 / $4,271.00	Facility		$1,638.00	$3,267.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.05 / $274.04 / $480.17	Professional		$200.05	$274.04	$480.17