Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $274.06 / $3,740.00	Facility		$129.54	$274.06	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $217.27 / $280.98	Professional		$139.27	$217.27	$280.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $136.78 / $205.49	Professional		$112.88	$136.78	$205.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $199.30 / $229.92	Facility		$140.19	$199.30	$229.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $200.73 / $341.15	Professional		$156.27	$200.73	$341.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.04 / $261.94 / $261.94	Facility		$148.04	$261.94	$261.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $253.41 / $474.43	Professional		$153.91	$253.41	$474.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.17 / $257.39	Professional		$32.34	$57.17	$257.39
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $297.48 / $478.13	Professional		$214.07	$297.48	$478.13