Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $1,773.00 / $5,634.00	Facility		$167.38	$1,773.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $167.38 / $226.48	Professional		$155.91	$167.38	$226.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,365.00 / $3,548.00 / $4,847.00	Facility		$1,365.00	$3,548.00	$4,847.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.60 / $278.10 / $375.43	Professional		$162.60	$278.10	$375.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.68 / $211.48 / $244.02	Facility		$162.68	$211.48	$244.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $178.95 / $244.02	Professional		$162.68	$178.95	$244.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.16 / $242.37 / $403.16	Professional		$183.16	$242.37	$403.16
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $203.35 / $348.23	Professional		$149.69	$203.35	$348.23