Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $200.84 / $5,320.00	Facility		$128.49	$200.84	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $168.24 / $223.16	Professional		$113.07	$168.24	$223.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,191.00 / $4,066.00	Facility		$1,258.00	$2,191.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $157.93 / $232.80	Professional		$115.79	$157.93	$232.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $153.49 / $179.19	Facility		$126.05	$153.49	$179.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $178.61 / $365.16	Professional		$112.40	$178.61	$365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.49 / $227.39 / $227.39	Facility		$121.49	$227.39	$227.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $197.16 / $380.61	Professional		$129.08	$197.16	$380.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $237.35	Professional		$32.34	$32.34	$237.35
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 $178.68 / $216.18 / $338.30	Professional		$178.68	$216.18	$338.30