Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.36 / $156.49 / $3,740.00	Facility		$99.36	$156.49	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $122.59 / $150.87	Professional		$96.74	$122.59	$150.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $122.75 / $171.19	Professional		$92.41	$122.75	$171.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $126.46 / $145.88	Facility		$92.14	$126.46	$145.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $130.59 / $228.32	Professional		$107.49	$130.59	$228.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.21 / $166.21 / $166.21	Facility		$166.21	$166.21	$166.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $161.49 / $257.93	Professional		$109.42	$161.49	$257.93
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $171.66 / $238.51	Professional		$118.22	$171.66	$238.51