Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $123.52 / $3,740.00	Facility		$21.38	$123.52	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $46.67 / $75.37	Professional		$19.22	$46.67	$75.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $32.10 / $69.66	Professional		$20.91	$32.10	$69.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.36 / $48.15 / $104.49	Professional	50	$31.36	$48.15	$104.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $28.03 / $31.86	Facility		$20.76	$28.03	$31.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $78.38 / $114.00	Professional		$25.95	$78.38	$114.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $41.36	Facility		$38.20	$38.20	$41.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $51.20 / $102.91	Professional		$22.10	$51.20	$102.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $63.96 / $115.97	Professional		$48.50	$63.96	$115.97