Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $124.21 / $3,740.00	Facility		$74.70	$124.21	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $104.88 / $146.91	Professional		$71.51	$104.88	$146.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $87.20 / $128.50	Professional		$63.67	$87.20	$128.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $93.75 / $109.45	Facility		$76.98	$93.75	$109.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $109.45 / $225.84	Professional		$73.78	$109.45	$225.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $138.88 / $3,236.00	Facility		$93.47	$138.88	$3,236.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $123.61 / $219.75	Professional		$84.40	$123.61	$219.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.80	Professional		$32.34	$32.34	$146.80
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,326.00	Facility		$50.00	$597.00	$3,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $132.11 / $211.59	Professional		$100.33	$132.11	$211.59