Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $264.64 / $5,320.00	Facility		$139.12	$264.64	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $161.15 / $196.04	Professional		$125.82	$161.15	$196.04
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 $112.13 / $143.18 / $231.15	Professional		$112.13	$143.18	$231.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $187.33 / $216.11	Facility		$137.46	$187.33	$216.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $194.02 / $301.07	Professional		$159.22	$194.02	$301.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.68 / $246.21 / $246.21	Facility		$150.68	$246.21	$246.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $196.00 / $342.14	Professional		$138.46	$196.00	$342.14
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $206.58 / $333.69	Professional		$144.16	$206.58	$333.69