Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.65 / $1,386.00 / $4,846.00	Facility		$117.65	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $132.65 / $151.86	Professional		$117.65	$132.65	$151.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.05 / $670.05 / $1,293.20	Facility		$670.05	$670.05	$1,293.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $630.74 / $902.69	Professional		$525.62	$630.74	$902.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.19 / $125.73 / $153.16	Facility		$88.19	$125.73	$153.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $123.51 / $133.38	Professional		$98.81	$123.51	$133.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $450.00 / $546.36	Facility		$142.26	$450.00	$546.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $159.22 / $592.47	Professional		$124.23	$159.22	$592.47
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 $63.37 / $99.73 / $183.58	Professional		$63.37	$99.73	$183.58