Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $202.26 / $3,740.00	Facility		$113.33	$202.26	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $168.52 / $212.26	Professional		$117.73	$168.52	$212.26
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 $112.20 / $143.21 / $219.53	Professional		$112.20	$143.21	$219.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $155.80 / $181.89	Facility		$127.94	$155.80	$181.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $200.70 / $367.74	Professional		$125.44	$200.70	$367.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.60 / $230.81 / $230.81	Facility		$136.60	$230.81	$230.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $189.63 / $308.54	Professional		$127.93	$189.63	$308.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $239.03	Professional		$32.34	$32.34	$239.03
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 $157.72 / $207.27 / $346.20	Professional		$157.72	$207.27	$346.20