Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.19 / $126.52 / $8,229.00	Facility		$87.19	$126.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $111.72 / $139.91	Professional		$87.19	$111.72	$139.91
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 $87.12 / $119.16 / $175.60	Professional		$87.12	$119.16	$175.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $117.35 / $135.38	Facility		$85.50	$117.35	$135.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $120.14 / $188.60	Professional		$96.39	$120.14	$188.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.18 / $154.22 / $154.22	Facility		$140.18	$154.22	$154.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $164.30 / $258.33	Professional		$109.00	$164.30	$258.33
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $177.16 / $241.56	Professional		$120.22	$177.16	$241.56