Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $238.11 / $3,740.00	Facility		$103.07	$238.11	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $159.15 / $211.12	Professional		$93.60	$159.15	$211.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $202.39 / $247.68	Professional		$117.73	$202.39	$247.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $142.16 / $142.16	Facility		$142.16	$142.16	$142.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $243.45 / $391.25	Professional		$169.98	$243.45	$391.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Facility		$146.22	$146.22	$146.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.97 / $173.49 / $511.40	Professional		$125.97	$173.49	$511.40
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $336.18 / $442.47	Professional		$205.39	$336.18	$442.47