Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.28 / $787.00 / $8,229.00	Facility		$138.28	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $153.00 / $184.25	Professional		$138.28	$153.00	$184.25
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 $130.02 / $152.97 / $202.70	Professional		$130.02	$152.97	$202.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.31 / $220.51 / $254.37	Facility		$161.31	$220.51	$254.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $220.51 / $315.02	Professional		$173.26	$220.51	$315.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.87 / $194.87 / $194.87	Facility		$194.87	$194.87	$194.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $223.49 / $331.21	Professional		$162.38	$223.49	$331.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.42 / $231.35 / $313.30	Professional		$175.42	$231.35	$313.30