Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $123.95 / $2,747.00	Facility		$59.39	$123.95	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $113.62 / $164.76	Professional		$61.43	$113.62	$164.76
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 $59.77 / $88.67 / $135.94	Professional		$59.77	$88.67	$135.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $81.80 / $95.50	Facility		$67.18	$81.80	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $105.38 / $194.40	Professional		$64.38	$105.38	$194.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $121.18 / $121.18	Facility		$89.13	$121.18	$121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $120.43 / $233.09	Professional		$68.09	$120.43	$233.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.38	Professional		$32.34	$32.34	$173.38
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 $105.56 / $142.74 / $240.36	Professional		$105.56	$142.74	$240.36