Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $787.00 / $8,229.00	Facility		$161.13	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $162.72 / $206.75	Professional		$161.13	$162.72	$206.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $188.98 / $276.67	Professional		$155.94	$188.98	$276.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.59 / $217.67 / $251.10	Facility		$158.59	$217.67	$251.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $217.67 / $310.95	Professional		$151.97	$217.67	$310.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $191.29 / $215.80	Facility		$191.29	$191.29	$215.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.69 / $264.14 / $420.00	Professional		$173.69	$264.14	$420.00
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 / $20,243.00	Facility		$523.00	$1,450.00	$20,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $239.33 / $345.17	Professional		$155.38	$239.33	$345.17