Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $127.53 / $2,747.00	Facility		$62.96	$127.53	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $107.46 / $158.25	Professional		$62.96	$107.46	$158.25
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 $58.70 / $83.68 / $135.40	Professional		$58.70	$83.68	$135.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $85.21 / $99.48	Facility		$69.98	$85.21	$99.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $109.78 / $273.38	Professional		$67.06	$109.78	$273.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $126.24 / $126.24	Facility		$86.44	$126.24	$126.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $114.05 / $227.07	Professional		$68.20	$114.05	$227.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $177.70	Professional		$32.34	$32.34	$177.70
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 $104.10 / $144.91 / $252.07	Professional		$104.10	$144.91	$252.07