Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.95 / $787.00 / $8,229.00	Facility		$125.95	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $139.66 / $187.52	Professional		$125.95	$139.66	$187.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $152.30 / $214.20	Professional		$125.68	$152.30	$214.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $192.61 / $222.19	Facility		$141.37	$192.61	$222.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $192.61 / $275.16	Professional		$151.27	$192.61	$275.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.22 / $171.12 / $171.12	Facility		$164.22	$171.12	$171.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $192.19 / $319.81	Professional		$148.61	$192.19	$319.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $130.68 / $180.00 / $289.99	Professional		$130.68	$180.00	$289.99