Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $67.08 / $104.75	Facility		$42.05	$67.08	$104.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $67.08 / $92.98	Professional		$42.05	$67.08	$92.98
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 $43.38 / $62.77 / $96.33	Professional		$43.38	$62.77	$96.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $61.73 / $71.20	Facility		$44.98	$61.73	$71.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $70.54 / $99.20	Professional		$52.47	$70.54	$99.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $81.13 / $97.30	Facility		$81.13	$81.13	$97.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $82.01 / $132.96	Professional		$53.64	$82.01	$132.96
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 $63.24 / $93.32 / $133.87	Professional		$63.24	$93.32	$133.87