Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.76 / $538.20 / $1,638.00	Facility		$383.76	$538.20	$1,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $383.76 / $1,500.00	Professional		$346.32	$383.76	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.72 / $418.86 / $1,404.00	Facility		$369.72	$418.86	$1,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $374.40	Professional		$187.20	$187.20	$374.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $561.60 / $655.20	Facility		$468.00	$561.60	$655.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $561.60 / $702.00	Professional		$468.00	$561.60	$702.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $468.00 / $1,042.92	Facility		$304.20	$468.00	$1,042.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.96 / $336.90 / $679.00	Professional		$203.96	$336.90	$679.00
United Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Facility		$468.00	$468.00	$468.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $280.80 / $514.33	Professional		$196.56	$280.80	$514.33