Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $851.14 / $8,511.38	Facility		$144.54	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $323.59	Professional		$128.82	$199.53	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $229.09	Professional		$112.20	$134.90	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $213.80	Facility		$128.82	$177.83	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $218.78	Professional		$144.54	$177.83	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $245.47 / $245.47	Facility		$34.67	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $1,737.80	Professional		$151.36	$275.42	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $363.08	Professional		$131.83	$204.17	$363.08