Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $172.50 / $525.00	Facility		$123.00	$172.50	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $123.00 / $142.50	Professional		$111.00	$123.00	$142.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $134.25 / $450.00	Facility		$118.50	$134.25	$450.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $82.80	Professional		$60.00	$60.00	$82.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $195.00 / $210.00	Facility		$150.00	$195.00	$210.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $180.00 / $225.00	Professional		$150.00	$180.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $150.00 / $348.80	Facility		$97.50	$150.00	$348.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $135.04 / $218.00	Professional		$79.20	$135.04	$218.00
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $164.85	Professional		$63.00	$90.00	$164.85