Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $101.56 / $3,740.00	Facility		$54.38	$101.56	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $76.95 / $101.64	Professional		$52.68	$76.95	$101.64
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 $49.36 / $71.95 / $113.47	Professional		$49.36	$71.95	$113.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $69.22 / $79.84	Facility		$50.48	$69.22	$79.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $71.69 / $119.38	Professional		$54.01	$71.69	$119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.70 / $90.97 / $90.97	Facility		$84.70	$90.97	$90.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $98.58 / $158.66	Professional		$61.14	$98.58	$158.66
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 $77.84 / $112.50 / $157.25	Professional		$77.84	$112.50	$157.25