Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.92 / $547.55 / $5,634.00	Facility		$76.92	$547.55	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $174.96 / $266.32	Professional		$72.45	$174.96	$266.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $75.26 / $103.85	Professional		$60.20	$75.26	$103.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $90.31 / $112.89 / $155.78	Professional	50	$90.31	$112.89	$155.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.59 / $114.87 / $168.93	Facility		$82.59	$114.87	$168.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $252.66 / $363.84	Professional		$202.13	$252.66	$363.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.21 / $498.21 / $590.58	Facility		$498.21	$498.21	$590.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $168.57 / $315.44	Professional		$84.44	$168.57	$315.44
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 $170.93 / $229.25 / $390.24	Professional		$170.93	$229.25	$390.24