Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.83 / $117.59 / $2,747.00	Facility		$100.83	$117.59	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $114.26 / $162.41	Professional		$93.54	$114.26	$162.41
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 $74.97 / $90.85 / $136.54	Professional		$74.97	$90.85	$136.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.45 / $136.27 / $204.81	Professional	50	$112.45	$136.27	$204.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $128.32 / $21,391.90	Facility		$91.11	$128.32	$21,391.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $128.32 / $206.24	Professional		$88.03	$128.32	$206.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $168.65 / $367.31	Facility		$168.65	$168.65	$367.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $131.79 / $470.87	Professional		$87.81	$131.79	$470.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.34 / $33.50	Professional		$25.12	$32.34	$33.50
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 $94.70 / $125.97 / $225.38	Professional		$94.70	$125.97	$225.38