Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $69.73 / $87.74	Facility		$36.40	$69.73	$87.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.15 / $87.95	Professional		$38.02	$69.15	$87.95
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 $35.63 / $43.70 / $62.40	Professional		$35.63	$43.70	$62.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $56.85 / $65.59	Facility		$39.13	$56.85	$65.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $57.26 / $111.66	Professional		$40.61	$57.26	$111.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $74.72 / $74.72	Facility		$72.75	$74.72	$74.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $86.28 / $150.85	Professional		$49.23	$86.28	$150.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $32.34 / $87.74	Professional		$18.72	$32.34	$87.74
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 $69.93 / $96.92 / $155.04	Professional		$69.93	$96.92	$155.04