Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.25 / $679.12 / $2,747.00	Facility		$147.25	$679.12	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $169.46 / $546.26	Professional		$147.25	$169.46	$546.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $161.18 / $278.67	Professional		$128.96	$161.18	$278.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $224.85 / $259.39	Facility		$159.58	$224.85	$259.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $224.85 / $321.22	Professional		$176.67	$224.85	$321.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $255.39	Facility		$199.04	$199.04	$255.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $274.48 / $520.50	Professional		$182.19	$274.48	$520.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.79	Professional		$32.34	$32.34	$208.79
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $233.62 / $380.13	Professional		$162.80	$233.62	$380.13