Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $161.51 / $2,747.00	Facility		$88.24	$161.51	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $142.13 / $174.25	Professional		$88.24	$142.13	$174.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,346.00 / $8,517.00	Facility		$1,643.00	$3,346.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $124.19 / $193.98	Professional		$89.72	$124.19	$193.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $122.01 / $142.43	Facility		$100.20	$122.01	$142.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $142.59 / $309.36	Professional		$107.54	$142.59	$309.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.69 / $180.74 / $180.74	Facility		$101.69	$180.74	$180.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.57 / $163.90 / $325.97	Professional		$102.57	$163.90	$325.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $201.08	Professional		$32.34	$32.34	$201.08
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 $150.34 / $186.94 / $290.39	Professional		$150.34	$186.94	$290.39