Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.97 / $331.07 / $5,320.00	Facility		$189.97	$331.07	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $240.86 / $308.81	Professional		$189.97	$240.86	$308.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $239.75 / $332.59	Professional		$142.34	$239.75	$332.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.29 / $259.81 / $299.70	Facility		$189.29	$259.81	$299.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $267.57 / $417.56	Professional		$220.84	$267.57	$417.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.42 / $341.47 / $341.47	Facility		$221.42	$341.47	$341.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $319.44 / $518.49	Professional		$208.68	$319.44	$518.49
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 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $351.42 / $474.53	Professional		$248.03	$351.42	$474.53