Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.26 / $137.82 / $3,740.00	Facility		$71.26	$137.82	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $112.94 / $144.78	Professional		$74.95	$112.94	$144.78
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 $66.45 / $95.00 / $141.50	Professional		$66.45	$95.00	$141.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $99.59 / $116.26	Facility		$81.78	$99.59	$116.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $116.26 / $250.58	Professional		$80.18	$116.26	$250.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $147.53 / $147.53	Facility		$87.90	$147.53	$147.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $121.69 / $209.86	Professional		$79.48	$121.69	$209.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.88	Professional		$32.34	$32.34	$162.88
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 $109.49 / $138.29 / $220.87	Professional		$109.49	$138.29	$220.87