Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $1,778.28 / $8,511.38	Facility		$70.79	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $125.89	Professional		$54.95	$72.44	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $91.20	Professional		$48.98	$63.10	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $87.10	Facility		$51.29	$63.10	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $89.13	Professional		$50.12	$67.61	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $100.00	Facility		$34.67	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $446.68	Professional		$57.54	$91.20	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $35.48	Professional		$25.70	$32.36	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $125.89	Professional		$54.95	$79.43	$125.89