Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.51 / $425.40 / $4,846.00	Facility		$273.51	$425.40	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.51 / $405.72 / $504.46	Professional		$273.51	$405.72	$504.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $5,790.87 / $8,240.00	Facility		$970.00	$5,790.87	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $332.10 / $447.40	Professional		$239.72	$332.10	$447.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $357.66 / $621.15	Facility		$267.16	$357.66	$621.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.35 / $485.22 / $727.83	Professional		$404.35	$485.22	$727.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $768.10 / $1,375.01	Facility		$483.81	$768.10	$1,375.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.68 / $437.32 / $707.22	Professional		$232.68	$437.32	$707.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,399.00 / $5,995.00 / $10,413.00	Facility		$1,399.00	$5,995.00	$10,413.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.04 / $485.22 / $830.30	Professional		$375.04	$485.22	$830.30