Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.33 / $181.76 / $8,229.00	Facility		$87.33	$181.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $125.10 / $181.76	Professional		$87.33	$125.10	$181.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $120.63 / $179.52	Professional		$74.84	$120.63	$179.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $116.86 / $134.81	Facility		$85.14	$116.86	$134.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $120.67 / $190.60	Professional		$92.23	$120.67	$190.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $153.58 / $153.58	Facility		$153.58	$153.58	$153.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $159.34 / $283.94	Professional		$98.38	$159.34	$283.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $147.05	Professional		$32.34	$32.34	$147.05
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 $128.72 / $207.64 / $285.07	Professional		$128.72	$207.64	$285.07