Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.48 / $371.70 / $5,320.00	Facility		$208.48	$371.70	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $311.70 / $369.61	Professional		$183.47	$311.70	$369.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $247.67 / $371.90	Professional		$174.90	$247.67	$371.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.65 / $251.63 / $293.77	Facility		$206.65	$251.63	$293.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $324.16 / $675.82	Professional		$221.98	$324.16	$675.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.35 / $372.78 / $1,587.00	Facility		$227.35	$372.78	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $334.07 / $638.34	Professional		$220.81	$334.07	$638.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $439.28	Professional		$32.34	$32.34	$439.28
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 $272.04 / $353.65 / $598.44	Professional		$272.04	$353.65	$598.44