Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $356.47 / $5,634.00	Facility		$91.28	$356.47	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $195.46 / $270.64	Professional		$91.28	$195.46	$270.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.00 / $5,230.00 / $8,240.00	Facility		$1,042.00	$5,230.00	$8,240.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $114.00 / $161.88	Professional		$79.81	$114.00	$161.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.65 / $118.68 / $212.76	Facility		$88.65	$118.68	$212.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.93 / $263.66 / $379.68	Professional		$210.93	$263.66	$379.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $254.46 / $422.00	Facility		$160.41	$254.46	$422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $199.71 / $397.48	Professional		$78.17	$199.71	$397.48
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $3,817.00 / $6,436.00	Facility		$629.00	$3,817.00	$6,436.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $258.44 / $506.26	Professional		$192.13	$258.44	$506.26