Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.24 / $400.00 / $3,599.47	Facility		$88.24	$400.00	$3,599.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $140.11 / $262.58	Professional		$67.38	$140.11	$262.58
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 $67.01 / $137.99 / $213.16	Professional		$67.01	$137.99	$213.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $112.31 / $129.56	Facility		$78.79	$112.31	$129.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $113.11 / $279.51	Professional		$87.42	$113.11	$279.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $258.56	Facility		$147.60	$147.60	$258.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $194.08 / $371.72	Professional		$86.99	$194.08	$371.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $259.55	Professional		$32.34	$32.34	$259.55
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 $171.61 / $277.70 / $444.65	Professional		$171.61	$277.70	$444.65