Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.01 / $203.38 / $3,740.00	Facility		$108.01	$203.38	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $168.16 / $211.35	Professional		$108.01	$168.16	$211.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.89 / $138.88 / $215.30	Professional		$104.89	$138.88	$215.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $149.66 / $174.73	Facility		$122.92	$149.66	$174.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $174.73 / $369.78	Professional		$117.79	$174.73	$369.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.82 / $221.72 / $221.72	Facility		$130.82	$221.72	$221.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $184.28 / $309.35	Professional		$122.54	$184.28	$309.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $240.36	Professional		$32.34	$32.34	$240.36
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 $157.94 / $205.34 / $326.98	Professional		$157.94	$205.34	$326.98