Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $473.88 / $5,634.00	Facility		$122.34	$473.88	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $166.59 / $218.25	Professional		$122.34	$166.59	$218.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,682.00 / $3,840.00 / $7,747.00	Facility		$1,682.00	$3,840.00	$7,747.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $156.74 / $211.16	Professional		$115.89	$156.74	$211.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.21 / $159.59 / $277.17	Facility		$119.21	$159.59	$277.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.17 / $220.21 / $317.10	Professional		$176.17	$220.21	$317.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $356.73 / $1,627.38	Facility		$216.90	$356.73	$1,627.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $179.11 / $316.55	Professional		$123.89	$179.11	$316.55
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $5,490.00	Facility		$629.00	$3,817.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $212.00 / $396.26	Professional		$157.54	$212.00	$396.26