Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $115.82 / $4,379.97	Facility		$29.80	$115.82	$4,379.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $57.66 / $115.82	Professional		$27.44	$57.66	$115.82
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 $23.79 / $56.60 / $121.24	Professional		$23.79	$56.60	$121.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $37.93 / $43.76	Facility		$27.64	$37.93	$43.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $39.28 / $133.47	Professional		$31.15	$39.28	$133.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.85 / $49.85 / $51.76	Facility		$49.85	$49.85	$51.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $88.91 / $181.68	Professional		$32.35	$88.91	$181.68
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $121.44 / $190.80	Professional		$85.07	$121.44	$190.80