Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $92.30 / $393.72	Facility		$49.21	$92.30	$393.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $71.84 / $111.27	Professional		$42.95	$71.84	$111.27
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 $36.84 / $46.25 / $83.70	Professional		$36.84	$46.25	$83.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $68.00 / $78.43	Facility		$47.50	$68.00	$78.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $70.05 / $116.45	Professional		$53.43	$70.05	$116.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $89.37 / $89.37	Facility		$77.59	$89.37	$89.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $83.25 / $145.22	Professional		$51.01	$83.25	$145.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $32.34 / $108.13	Professional		$27.93	$32.34	$108.13
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 $69.58 / $98.74 / $154.65	Professional		$69.58	$98.74	$154.65