Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $543.00 / $5,634.00	Facility		$133.41	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $242.25 / $339.13	Professional		$125.46	$242.25	$339.13
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 $92.60 / $108.95 / $168.87	Professional		$92.60	$108.95	$168.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $168.95 / $384.05	Facility		$129.96	$168.95	$384.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.99 / $310.75 / $415.49	Professional		$276.99	$310.75	$415.49
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 $146.76 / $298.89 / $589.90	Professional		$146.76	$298.89	$589.90
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 $247.68 / $332.77 / $589.19	Professional		$247.68	$332.77	$589.19