Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,000.00 / $3,890.45	Facility		$138.04	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $218.78	Professional		$114.82	$144.54	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $199.53	Professional		$107.15	$128.82	$199.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $186.21	Facility		$125.89	$158.49	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $213.80	Professional		$114.82	$177.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $1,318.26	Facility		$173.78	$234.42	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $831.76	Professional		$141.25	$186.21	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $269.15	Professional		$120.23	$151.36	$269.15