Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.66 / $637.00 / $2,747.00	Facility		$190.66	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.29 / $219.53 / $290.77	Professional		$194.29	$219.53	$290.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.21 / $236.97 / $339.59	Professional		$197.21	$236.97	$339.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.68 / $292.50 / $365.63	Facility		$201.68	$292.50	$365.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.12 / $292.50 / $417.86	Professional		$229.12	$292.50	$417.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.99 / $256.99 / $286.32	Facility		$256.99	$256.99	$286.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.58 / $323.70 / $482.16	Professional		$229.58	$323.70	$482.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $271.61	Professional		$32.34	$32.34	$271.61
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $308.19 / $456.89	Professional		$217.47	$308.19	$456.89