Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $465.61 / $4,846.00	Facility		$181.17	$465.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $187.27 / $240.45	Professional		$166.78	$187.27	$240.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.84 / $5,423.37 / $7,747.00	Facility		$3,027.84	$5,423.37	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $278.60 / $376.11	Professional		$173.57	$278.60	$376.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $227.70 / $262.73	Facility		$175.15	$227.70	$262.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $210.18 / $262.73	Professional		$175.15	$210.18	$262.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $285.83 / $424.44	Professional		$199.29	$285.83	$424.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,167.00 / $10,396.00	Facility		$2,062.00	$5,167.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $221.04 / $377.18	Professional		$160.13	$221.04	$377.18