Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $511.50 / $2,747.00	Facility		$100.72	$511.50	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $124.09 / $202.88	Professional		$87.18	$124.09	$202.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $96.80 / $133.46	Professional		$80.89	$96.80	$133.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $128.18 / $147.88	Facility		$89.16	$128.18	$147.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $129.10 / $206.01	Professional		$91.56	$129.10	$206.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.25 / $168.47 / $168.47	Facility		$131.25	$168.47	$168.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $154.04 / $247.33	Professional		$108.60	$154.04	$247.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.74 / $152.00	Professional		$32.34	$45.74	$152.00
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 $120.88 / $164.82 / $246.85	Professional		$120.88	$164.82	$246.85