Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.19 / $463.09 / $4,846.00	Facility		$180.19	$463.09	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $186.07 / $240.24	Professional		$177.46	$186.07	$240.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $280.00 / $540.40	Facility		$280.00	$280.00	$540.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $280.00 / $378.00	Professional		$177.00	$280.00	$378.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.05 / $226.27 / $261.08	Facility		$174.05	$226.27	$261.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $208.86 / $261.08	Professional		$174.05	$208.86	$261.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.86 / $287.39 / $434.92	Professional		$199.86	$287.39	$434.92
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $5,520.00	Facility		$933.00	$2,252.00	$5,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.90 / $230.35 / $374.76	Professional		$165.90	$230.35	$374.76