Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.67 / $149.04 / $2,747.00	Facility		$93.67	$149.04	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $125.97 / $167.00	Professional		$93.67	$125.97	$167.00
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 $94.18 / $135.41 / $199.15	Professional		$94.18	$135.41	$199.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $128.37 / $144.69	Facility		$105.43	$128.37	$144.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $144.69 / $206.72	Professional		$92.25	$144.69	$206.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $190.18 / $190.18	Facility		$154.94	$190.18	$190.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $157.54 / $295.93	Professional		$105.20	$157.54	$295.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $189.68	Professional		$32.34	$32.34	$189.68
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 $135.04 / $165.63 / $265.81	Professional		$135.04	$165.63	$265.81