Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $900.00 / $2,122.00	Facility		$450.00	$900.00	$2,122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.52 / $394.05 / $525.00	Professional		$363.52	$394.05	$525.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $925.00 / $2,459.00	Facility		$514.00	$925.00	$2,459.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.89 / $519.25 / $737.33	Professional		$361.89	$519.25	$737.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $316.20 / $520.40	Facility		$158.83	$316.20	$520.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $304.04 / $507.05	Professional		$140.63	$304.04	$507.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.27 / $925.00 / $925.00	Facility		$264.27	$925.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.66 / $542.16 / $892.00	Professional		$396.66	$542.16	$892.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.81 / $511.22 / $1,020.64	Professional		$419.81	$511.22	$1,020.64