Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $285.27 / $2,747.00	Facility		$120.42	$285.27	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $222.77 / $347.60	Professional		$120.42	$222.77	$347.60
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 $87.12 / $105.58 / $184.42	Professional		$87.12	$105.58	$184.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.37 / $164.11 / $189.32	Facility		$120.37	$164.11	$189.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $187.55 / $388.23	Professional		$139.49	$187.55	$388.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.32 / $215.68 / $215.68	Facility		$179.32	$215.68	$215.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $236.65 / $553.91	Professional		$126.36	$236.65	$553.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.76 / $339.89 / $556.82	Professional		$241.76	$339.89	$556.82