Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $309.11 / $8,229.00	Facility		$179.27	$309.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.27 / $229.96 / $309.11	Professional		$179.27	$229.96	$309.11
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 $156.26 / $212.46 / $319.58	Professional		$156.26	$212.46	$319.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.73 / $241.19 / $278.24	Facility		$175.73	$241.19	$278.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $249.81 / $387.63	Professional		$190.37	$249.81	$387.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $317.00 / $317.00	Facility		$317.00	$317.00	$317.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $259.38 / $451.09	Professional		$187.51	$259.38	$451.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.43	Professional		$32.34	$32.34	$249.43
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $290.45 / $466.87	Professional		$219.87	$290.45	$466.87