Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $88.89 / $3,740.00	Facility		$53.10	$88.89	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $70.31 / $88.89	Professional		$46.73	$70.31	$88.89
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 $43.84 / $63.99 / $84.63	Professional		$43.84	$63.99	$84.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $64.09 / $74.81	Facility		$52.63	$64.09	$74.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $82.33 / $168.44	Professional		$51.60	$82.33	$168.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $94.94 / $94.94	Facility		$94.94	$94.94	$94.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $82.95 / $160.05	Professional		$54.43	$82.95	$160.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $109.49	Professional		$32.34	$32.34	$109.49
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 $74.89 / $101.18 / $155.55	Professional		$74.89	$101.18	$155.55