Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.61 / $193.12 / $2,747.00	Facility		$115.61	$193.12	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $193.12 / $304.16	Professional		$115.61	$193.12	$304.16
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 $84.26 / $101.82 / $159.22	Professional		$84.26	$101.82	$159.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $151.69 / $174.99	Facility		$111.62	$151.69	$174.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $157.11 / $277.82	Professional		$119.43	$157.11	$277.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $199.36 / $199.36	Facility		$158.72	$199.36	$199.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $204.26 / $422.63	Professional		$116.60	$204.26	$422.63
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.41 / $267.87 / $364.09	Professional		$179.41	$267.87	$364.09