Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $787.00 / $5,284.30	Facility		$234.74	$787.00	$5,284.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.66 / $273.31 / $375.41	Professional		$205.66	$273.31	$375.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $212.67 / $321.64	Professional		$167.16	$212.67	$321.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.51 / $284.33 / $331.95	Facility		$233.51	$284.33	$331.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.21 / $330.43 / $576.44	Professional		$208.21	$330.43	$576.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.73 / $421.23 / $1,587.00	Facility		$211.73	$421.23	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $288.62 / $486.54	Professional		$206.67	$288.62	$486.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $374.69	Professional		$32.34	$32.34	$374.69
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $303.49 / $510.06	Professional		$233.45	$303.49	$510.06