Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.57 / $787.00 / $3,666.37	Facility		$153.57	$787.00	$3,666.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $252.95 / $682.63	Professional		$124.77	$252.95	$682.63
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 $130.41 / $220.10 / $597.36	Professional		$130.41	$220.10	$597.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $162.16 / $187.07	Facility		$118.15	$162.16	$187.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $185.33 / $861.44	Professional		$137.84	$185.33	$861.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.19 / $213.13 / $213.13	Facility		$138.19	$213.13	$213.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $277.64 / $915.90	Professional		$154.46	$277.64	$915.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $699.22 / $986.79	Professional		$169.00	$699.22	$986.79