Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.21 / $547.95 / $5,634.00	Facility		$213.21	$547.95	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.09 / $317.01 / $513.58	Professional		$211.09	$317.01	$513.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,636.00 / $3,677.00 / $5,445.00	Facility		$1,636.00	$3,677.00	$5,445.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.09 / $150.19 / $216.65	Professional		$115.09	$150.19	$216.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.34 / $278.64 / $582.47	Facility		$214.34	$278.64	$582.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.49 / $510.59 / $638.24	Professional		$425.49	$510.59	$638.24
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 $231.78 / $454.62 / $758.77	Professional		$231.78	$454.62	$758.77
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 $355.10 / $473.57 / $781.63	Professional		$355.10	$473.57	$781.63