Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $261.43 / $5,391.72	Facility		$94.43	$261.43	$5,391.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $145.52 / $219.24	Professional		$85.82	$145.52	$219.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $142.44 / $209.87	Professional		$106.61	$142.44	$209.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.53 / $126.27 / $141.94	Facility		$93.53	$126.27	$141.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $156.86 / $228.16	Professional		$116.91	$156.86	$228.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.31 / $172.10 / $1,111.00	Facility		$155.31	$172.10	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $183.11 / $337.42	Professional		$109.84	$183.11	$337.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.38	Professional		$32.34	$32.34	$185.38
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 $139.72 / $184.07 / $275.95	Professional		$139.72	$184.07	$275.95