Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.53 / $339.13 / $3,740.00	Facility		$112.53	$339.13	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $242.25 / $346.26	Professional		$125.46	$242.25	$346.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $133.69 / $193.93	Professional		$104.32	$133.69	$193.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.91 / $182.50 / $215.38	Facility		$128.91	$182.50	$215.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $185.66 / $416.14	Professional		$142.38	$185.66	$416.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $239.86 / $239.86	Facility		$169.81	$239.86	$239.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $332.10 / $585.85	Professional		$156.16	$332.10	$585.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $351.29	Professional		$32.34	$32.34	$351.29
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.52 / $406.85 / $539.07	Professional		$284.52	$406.85	$539.07