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 / $95.86	Professional		$74.91	$85.12	$95.86
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 $70.28 / $86.39 / $124.75	Professional		$70.28	$86.39	$124.75
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 $80.73 / $115.85 / $177.68	Professional		$80.73	$115.85	$177.68
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 $77.53 / $98.51 / $174.29	Professional		$77.53	$98.51	$174.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.49	Professional		$32.34	$32.34	$115.49
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 $75.97 / $98.24 / $162.88	Professional		$75.97	$98.24	$162.88