Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.11 / $147.25 / $3,740.00	Facility		$79.11	$147.25	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $122.30 / $153.82	Professional		$79.11	$122.30	$153.82
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 $71.65 / $101.38 / $151.30	Professional		$71.65	$101.38	$151.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.24 / $109.88 / $128.28	Facility		$90.24	$109.88	$128.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $130.85 / $267.72	Professional		$96.96	$130.85	$267.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $162.78 / $162.78	Facility		$98.63	$162.78	$162.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $131.61 / $223.43	Professional		$85.39	$131.61	$223.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.02	Professional		$32.34	$32.34	$174.02
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 $117.27 / $148.34 / $232.30	Professional		$117.27	$148.34	$232.30