Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.19 / $787.00 / $8,229.00	Facility		$67.19	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $68.94 / $89.82	Professional		$67.19	$68.94	$89.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $73.11 / $125.84	Professional		$60.33	$73.11	$125.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $89.15 / $102.85	Facility		$64.95	$89.15	$102.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $89.15 / $127.36	Professional		$72.17	$89.15	$127.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.31 / $77.56 / $77.56	Facility		$61.31	$77.56	$77.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $101.18 / $201.88	Professional		$65.02	$101.18	$201.88
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $104.09 / $139.44	Professional		$65.44	$104.09	$139.44