Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $163.60 / $3,740.00	Facility		$82.17	$163.60	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $103.19 / $163.60	Professional		$82.17	$103.19	$163.60
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 $62.39 / $74.97 / $118.35	Professional		$62.39	$74.97	$118.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.58 / $112.45 / $177.52	Professional	50	$93.58	$112.45	$177.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.17 / $135.69 / $169.63	Facility		$93.17	$135.69	$169.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $136.66 / $229.02	Professional		$107.05	$136.66	$229.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $178.35 / $202.18	Facility		$178.35	$178.35	$202.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $140.06 / $217.50	Professional		$95.85	$140.06	$217.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.75 / $143.44	Professional		$32.34	$38.75	$143.44
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 $104.51 / $139.78 / $218.98	Professional		$104.51	$139.78	$218.98