Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $79.45 / $2,747.00	Facility		$66.75	$79.45	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $76.43 / $92.06	Professional		$64.55	$76.43	$92.06
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 $50.06 / $58.90 / $84.35	Professional		$50.06	$58.90	$84.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $81.01 / $95.30	Facility		$50.63	$81.01	$95.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $83.38 / $134.01	Professional		$64.91	$83.38	$134.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $66.31 / $109.59	Facility		$35.93	$66.31	$109.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $94.33 / $300.91	Professional		$60.71	$94.33	$300.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $44.22	Professional		$32.34	$32.34	$44.22
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 $65.00 / $83.96 / $149.30	Professional		$65.00	$83.96	$149.30