Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $191.83 / $3,740.00	Facility		$72.89	$191.83	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $103.24 / $191.83	Professional		$70.94	$103.24	$191.83
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 $65.31 / $97.78 / $176.66	Professional		$65.31	$97.78	$176.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.58 / $92.76 / $107.01	Facility		$67.58	$92.76	$107.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $106.02 / $218.25	Professional		$78.84	$106.02	$218.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $121.92 / $123.30	Facility		$121.92	$121.92	$123.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $143.30 / $275.36	Professional		$83.26	$143.30	$275.36
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 $121.11 / $167.28 / $260.17	Professional		$121.11	$167.28	$260.17