Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.50 / $572.07 / $1,736.16	Facility		$88.50	$572.07	$1,736.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $102.89 / $1,736.16	Professional		$88.50	$102.89	$1,736.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.77 / $1,844.67 / $2,170.13	Professional		$0.77	$1,844.67	$2,170.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $125.63 / $125.63	Professional		$125.63	$125.63	$125.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $206.54	Facility		$143.26	$143.26	$206.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $742.14	Professional		$143.26	$143.26	$742.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,170.19	Professional		$2,170.19	$2,170.19	$2,170.19