Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $85.90 / $3,740.00	Facility		$27.64	$85.90	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $56.72 / $88.25	Professional		$25.11	$56.72	$88.25
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 $26.68 / $41.93 / $67.94	Professional		$26.68	$41.93	$67.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.02 / $62.90 / $101.91	Professional	50	$40.02	$62.90	$101.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $35.72 / $42.34	Facility		$26.99	$35.72	$42.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $42.34 / $156.18	Professional		$25.86	$42.34	$156.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $50.29	Facility		$48.69	$48.69	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $62.21 / $128.72	Professional		$28.12	$62.21	$128.72
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 $57.60 / $74.29 / $128.36	Professional		$57.60	$74.29	$128.36