Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.95 / $543.00 / $5,634.00	Facility		$316.95	$543.00	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $388.04 / $483.61	Professional		$316.95	$388.04	$483.61
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 $244.12 / $329.33 / $461.41	Professional		$244.12	$329.33	$461.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $415.59 / $721.76	Facility		$310.43	$415.59	$721.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.04 / $491.30 / $707.48	Professional		$393.04	$491.30	$707.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.13 / $546.36 / $646.00	Facility		$338.13	$546.36	$646.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.94 / $398.25 / $686.91	Professional		$243.94	$398.25	$686.91
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 $333.99 / $461.61 / $789.03	Professional		$333.99	$461.61	$789.03