Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.75 / $212.99 / $3,740.00	Facility		$104.75	$212.99	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $153.18 / $199.39	Professional		$105.29	$153.18	$199.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.47 / $145.57 / $210.30	Professional		$99.47	$145.57	$210.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.25 / $133.32 / $157.33	Facility		$97.25	$133.32	$157.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $152.37 / $241.43	Professional		$109.51	$152.37	$241.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.79 / $175.22 / $175.22	Facility		$160.79	$175.22	$175.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $198.67 / $343.85	Professional		$127.15	$198.67	$343.85
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 $151.88 / $231.02 / $313.74	Professional		$151.88	$231.02	$313.74