Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $98.47 / $145.68	Facility		$57.59	$98.47	$145.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $81.87 / $103.66	Professional		$58.14	$81.87	$103.66
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 $54.11 / $66.13 / $91.77	Professional		$54.11	$66.13	$91.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $88.80 / $102.45	Facility		$61.26	$88.80	$102.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $89.44 / $142.72	Professional		$63.43	$89.44	$142.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $116.71 / $116.71	Facility		$97.36	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $113.14 / $184.93	Professional		$73.80	$113.14	$184.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $32.34 / $100.67	Professional		$30.74	$32.34	$100.67
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 $84.58 / $119.87 / $181.53	Professional		$84.58	$119.87	$181.53