Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.58 / $315.77 / $8,229.00	Facility		$159.58	$315.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $219.93 / $305.45	Professional		$159.58	$219.93	$305.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $199.73 / $299.02	Professional		$141.88	$199.73	$299.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.65 / $215.01 / $248.03	Facility		$156.65	$215.01	$248.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $216.55 / $345.56	Professional		$169.71	$216.55	$345.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $282.58 / $282.58	Facility		$282.58	$282.58	$282.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $247.60 / $420.98	Professional		$168.45	$247.60	$420.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.10	Professional		$32.34	$32.34	$230.10
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $268.86 / $425.44	Professional		$205.03	$268.86	$425.44