Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $184.81 / $3,740.00	Facility		$100.34	$184.81	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.34 / $154.22 / $212.90	Professional		$100.34	$154.22	$212.90
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 $96.90 / $127.75 / $196.80	Professional		$96.90	$127.75	$196.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $138.21 / $161.36	Facility		$113.51	$138.21	$161.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $164.23 / $336.02	Professional		$121.77	$164.23	$336.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $204.76 / $204.76	Facility		$121.92	$204.76	$204.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $165.98 / $281.83	Professional		$113.65	$165.98	$281.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $218.41	Professional		$32.34	$32.34	$218.41
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 $147.53 / $186.24 / $299.48	Professional		$147.53	$186.24	$299.48