Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.00 / $416.00 / $3,740.00	Facility		$151.00	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $196.45 / $239.38	Professional		$178.14	$196.45	$239.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $181.46 / $290.39	Professional		$152.54	$181.46	$290.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.51 / $244.31 / $279.22	Facility		$173.51	$244.31	$279.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $244.31 / $349.02	Professional		$174.51	$244.31	$349.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $214.12 / $1,728.48	Facility		$214.12	$214.12	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $229.98 / $430.82	Professional		$159.52	$229.98	$430.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $132.84	Professional		$32.34	$32.34	$132.84
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $194.37 / $324.81	Professional		$164.60	$194.37	$324.81