Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.77 / $294.75 / $5,320.00	Facility		$141.77	$294.75	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.77 / $242.76 / $294.02	Professional		$141.77	$242.76	$294.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.51 / $222.32 / $363.08	Professional		$149.51	$222.32	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $192.44 / $222.00	Facility		$140.72	$192.44	$222.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.58 / $219.94 / $412.64	Professional		$163.58	$219.94	$412.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.98 / $252.93 / $252.93	Facility		$205.98	$252.93	$252.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $292.60 / $527.74	Professional		$175.43	$292.60	$527.74
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 / $1,913.00 / $5,654.00	Facility		$523.00	$1,913.00	$5,654.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.61 / $345.03 / $538.01	Professional		$257.61	$345.03	$538.01