Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.99 / $237.38 / $5,320.00	Facility		$145.99	$237.38	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $193.05 / $242.65	Professional		$128.47	$193.05	$242.65
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 $124.20 / $160.31 / $256.88	Professional		$124.20	$160.31	$256.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.13 / $176.73 / $206.32	Facility		$145.13	$176.73	$206.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $205.92 / $421.32	Professional		$142.29	$205.92	$421.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.77 / $261.81 / $1,111.00	Facility		$184.77	$261.81	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $217.65 / $401.62	Professional		$140.94	$217.65	$401.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $273.86	Professional		$32.34	$32.34	$273.86
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $239.86 / $401.62	Professional		$185.22	$239.86	$401.62