Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $637.00 / $2,747.00	Facility		$156.01	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $179.01 / $225.40	Professional		$156.01	$179.01	$225.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $201.68 / $269.20	Professional		$162.16	$201.68	$269.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.74 / $251.83 / $314.79	Facility		$172.74	$251.83	$314.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $243.60 / $359.76	Professional		$175.83	$243.60	$359.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $278.56	Facility		$221.10	$221.10	$278.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $270.37 / $376.31	Professional		$196.38	$270.37	$376.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $233.84	Professional		$32.34	$32.34	$233.84
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 $184.32 / $253.35 / $345.99	Professional		$184.32	$253.35	$345.99