Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.92 / $1,288.08 / $7,212.00	Facility		$118.92	$1,288.08	$7,212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $171.85 / $243.63	Professional		$112.53	$171.85	$243.63
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 $92.14 / $146.46 / $227.44	Professional		$92.14	$146.46	$227.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.55 / $179.34 / $263.75	Facility		$124.55	$179.34	$263.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $233.39 / $336.08	Professional		$190.44	$233.39	$336.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.52 / $208.52 / $208.52	Facility		$208.52	$208.52	$208.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $193.48 / $419.23	Professional		$131.50	$193.48	$419.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $3,870.00 / $5,490.00	Facility		$2,400.00	$3,870.00	$5,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.68 / $224.05 / $397.22	Professional		$176.68	$224.05	$397.22