Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.61 / $416.00 / $3,740.00	Facility		$135.61	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $152.94 / $206.93	Professional		$117.37	$152.94	$206.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $119.14 / $180.98	Professional		$99.36	$119.14	$180.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.21 / $161.82 / $190.38	Facility		$118.21	$161.82	$190.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $168.15 / $267.73	Professional		$130.15	$168.15	$267.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $218.94 / $368.35	Facility		$98.99	$218.94	$368.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $178.89 / $611.17	Professional		$118.69	$178.89	$611.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.87	Professional		$32.34	$32.34	$74.87
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $175.29 / $288.98	Professional		$135.46	$175.29	$288.98