Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $107.77 / $4,846.00	Facility		$94.50	$107.77	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $107.77 / $135.72	Professional		$94.50	$107.77	$135.72
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 $88.20 / $112.97 / $152.19	Professional		$88.20	$112.97	$152.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.30 / $169.45 / $228.28	Professional	50	$132.30	$169.45	$228.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.08 / $123.27 / $206.17	Facility		$92.08	$123.27	$206.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $130.76 / $188.30	Professional		$104.61	$130.76	$188.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $168.65	Facility		$50.00	$50.00	$168.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $128.63 / $279.39	Professional		$91.21	$128.63	$279.39
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 $97.93 / $127.14 / $238.88	Professional		$97.93	$127.14	$238.88