Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.41 / $583.69 / $2,747.00	Facility		$120.41	$583.69	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $513.65 / $690.33	Professional		$106.00	$513.65	$690.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $548.50 / $916.10	Professional		$108.71	$548.50	$916.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.67 / $161.50 / $186.31	Facility		$117.67	$161.50	$186.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $187.58 / $1,036.97	Professional		$137.28	$187.58	$1,036.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.26 / $212.26 / $212.26	Facility		$212.26	$212.26	$212.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $600.59 / $1,478.27	Professional		$150.08	$600.59	$1,478.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.26 / $1,091.89 / $1,445.72	Professional		$662.26	$1,091.89	$1,445.72