Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,818.38 / $9,772.37	Facility		$223.87	$2,818.38	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $269.15	Professional		$169.82	$199.53	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $295.12	Professional		$162.18	$199.53	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $245.47	Facility		$144.54	$208.93	$245.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $251.19	Professional		$138.04	$213.80	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $281.84 / $281.84	Facility		$34.67	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $2,691.53	Professional		$204.17	$338.84	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $354.81	Professional		$169.82	$269.15	$354.81