Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $273.12 / $3,191.26	Facility		$202.54	$273.12	$3,191.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $230.09 / $294.33	Professional		$184.31	$230.09	$294.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $182.99 / $303.62	Professional		$148.19	$182.99	$303.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.02 / $272.94 / $314.87	Facility		$200.02	$272.94	$314.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $274.89 / $438.66	Professional		$224.20	$274.89	$438.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $358.73 / $358.73	Facility		$217.02	$358.73	$358.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.48 / $276.99 / $461.01	Professional		$202.48	$276.99	$461.01
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.47 / $320.01 / $478.76	Professional		$201.47	$320.01	$478.76