Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.98 / $336.35 / $5,320.00	Facility		$182.98	$336.35	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $283.20 / $385.11	Professional		$190.12	$283.20	$385.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.18 / $245.48 / $361.80	Professional		$187.18	$245.48	$361.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.56 / $251.52 / $293.64	Facility		$206.56	$251.52	$293.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $298.89 / $611.54	Professional		$222.09	$298.89	$611.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.62 / $372.62 / $3,236.00	Facility		$372.62	$372.62	$3,236.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.26 / $37.26 / $37.26	Facility	AS	$37.26	$37.26	$37.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $305.89 / $593.21	Professional		$209.09	$305.89	$593.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $397.50	Professional		$32.34	$32.34	$397.50
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 $281.72 / $356.29 / $593.21	Professional		$281.72	$356.29	$593.21