Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.60 / $363.70 / $5,634.00	Facility		$172.60	$363.70	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $317.16 / $386.56	Professional		$172.60	$317.16	$386.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.24 / $414.77 / $572.38	Professional		$191.24	$414.77	$572.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.46 / $223.22 / $475.25	Facility		$169.46	$223.22	$475.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $324.47 / $499.02	Professional		$282.14	$324.47	$499.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $275.57 / $465.38	Professional		$209.09	$275.57	$465.38
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.57 / $564.41 / $878.33	Professional		$421.57	$564.41	$878.33