Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $214.85 / $8,229.00	Facility		$142.63	$214.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $201.19 / $285.69	Professional		$142.63	$201.19	$285.69
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 $116.21 / $163.05 / $260.19	Professional		$116.21	$163.05	$260.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $194.81 / $224.73	Facility		$141.94	$194.81	$224.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $201.77 / $313.08	Professional		$153.07	$201.77	$313.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.04 / $256.04 / $256.04	Facility		$256.04	$256.04	$256.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $229.28 / $375.59	Professional		$152.47	$229.28	$375.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.85	Professional		$32.34	$32.34	$214.85
United Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $594.00 / $3,394.00	Facility		$334.00	$594.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.72 / $255.77 / $409.92	Professional		$189.72	$255.77	$409.92