Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $538.61 / $4,846.00	Facility		$27.44	$538.61	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $32.49 / $68.95	Professional		$27.44	$32.49	$68.95
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 $27.70 / $34.63 / $49.17	Professional		$27.70	$34.63	$49.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.55 / $51.94 / $73.76	Professional	50	$41.55	$51.94	$73.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $35.43 / $53.58	Facility		$26.46	$35.43	$53.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $32.70 / $47.09	Professional		$26.16	$32.70	$47.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $50.00	Facility		$32.22	$32.22	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $47.22 / $104.45	Professional		$30.58	$47.22	$104.45
United Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $2,174.00 / $4,426.00	Facility		$119.00	$2,174.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $52.19 / $86.29	Professional		$35.57	$52.19	$86.29