Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $124.96 / $3,740.00	Facility		$24.28	$124.96	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $89.39 / $191.49	Professional		$26.57	$89.39	$191.49
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 $25.24 / $29.70 / $40.89	Professional		$25.24	$29.70	$40.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $38.81 / $45.79	Facility		$27.02	$38.81	$45.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $39.09 / $148.47	Professional		$27.72	$39.09	$148.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $137.94 / $239.08	Professional		$37.35	$137.94	$239.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $32.34 / $108.50	Professional		$19.41	$32.34	$108.50
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 $117.09 / $165.02 / $243.06	Professional		$117.09	$165.02	$243.06