Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.91 / $400.00 / $3,740.00	Facility		$74.91	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $85.12 / $106.66	Professional		$74.91	$85.12	$106.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,968.00 / $2,894.00	Facility		$1,041.00	$1,968.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $88.34 / $127.46	Professional		$72.90	$88.34	$127.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $102.59 / $119.77	Facility		$84.25	$102.59	$119.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $115.85 / $179.96	Professional		$87.96	$115.85	$179.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $104.52 / $189.48	Professional		$79.94	$104.52	$189.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.97	Professional		$32.34	$32.34	$116.97
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $1,895.00	Facility		$59.00	$668.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $105.70 / $164.49	Professional		$84.51	$105.70	$164.49