Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.50 / $246.54 / $8,229.00	Facility		$164.50	$246.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $187.48 / $246.54	Professional		$164.50	$187.48	$246.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $203.19 / $295.72	Professional		$166.71	$203.19	$295.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.29 / $266.58 / $307.52	Facility		$175.29	$266.58	$307.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.41 / $266.58 / $380.84	Professional		$210.41	$266.58	$380.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $304.69	Facility		$234.11	$234.11	$304.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.96 / $290.30 / $409.75	Professional		$200.96	$290.30	$409.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.55	Professional		$32.34	$32.34	$247.55
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $262.82 / $365.64	Professional		$193.91	$262.82	$365.64