Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.75 / $497.87 / $5,320.00	Facility		$289.75	$497.87	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $344.94 / $497.87	Professional		$249.37	$344.94	$497.87
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 $233.03 / $282.37 / $444.67	Professional		$233.03	$282.37	$444.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $332.18 / $387.82	Facility		$272.81	$332.18	$387.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.44 / $387.48 / $731.22	Professional		$261.44	$387.48	$731.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $492.13 / $1,587.00	Facility		$306.14	$492.13	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.24 / $377.24 / $639.03	Professional		$271.24	$377.24	$639.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $475.29	Professional		$32.34	$32.34	$475.29
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,945.00 / $5,995.00	Facility		$599.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.64 / $420.80 / $681.79	Professional		$336.64	$420.80	$681.79