Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $101.01 / $8,229.00	Facility		$79.09	$101.01	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $81.62 / $101.01	Professional		$75.23	$81.62	$101.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $82.01 / $109.98	Professional		$67.67	$82.01	$109.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.69 / $106.69 / $114.10	Facility		$106.69	$106.69	$114.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $100.67 / $171.47	Professional		$87.64	$100.67	$171.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $93.41 / $93.41	Facility		$93.41	$93.41	$93.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $111.03 / $172.36	Professional		$80.26	$111.03	$172.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $99.07	Professional		$32.34	$32.34	$99.07
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $113.30 / $171.08	Professional		$77.83	$113.30	$171.08