Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.02 / $357.76 / $3,740.00	Facility		$148.02	$357.76	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $179.19 / $275.10	Professional		$133.44	$179.19	$275.10
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 $102.06 / $120.08 / $191.66	Professional		$102.06	$120.08	$191.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $153.10 / $180.12 / $287.49	Professional	50	$153.10	$180.12	$287.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.93 / $183.71 / $209.95	Facility		$130.93	$183.71	$209.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.90 / $185.95 / $295.25	Professional		$143.90	$185.95	$295.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.24 / $241.44 / $310.43	Facility		$159.24	$241.44	$310.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $210.19 / $681.31	Professional		$137.12	$210.19	$681.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.61	Professional		$32.34	$32.34	$62.61
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 $165.92 / $225.57 / $375.25	Professional		$165.92	$225.57	$375.25