Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $106.99 / $3,740.00	Facility		$65.09	$106.99	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $86.93 / $106.99	Professional		$63.04	$86.93	$106.99
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 $59.50 / $78.39 / $120.54	Professional		$59.50	$78.39	$120.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $82.85 / $95.57	Facility		$60.40	$82.85	$95.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $85.68 / $133.16	Professional		$70.42	$85.68	$133.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.77 / $108.89 / $108.89	Facility		$89.77	$108.89	$108.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $111.95 / $166.27	Professional		$70.73	$111.95	$166.27
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 $81.56 / $120.02 / $166.62	Professional		$81.56	$120.02	$166.62