Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.22 / $557.00 / $5,320.00	Facility		$418.22	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.79 / $477.69 / $575.64	Professional		$380.79	$477.69	$575.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.64 / $393.62 / $583.04	Professional		$311.64	$393.62	$583.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.42 / $520.44 / $607.59	Facility		$427.42	$520.44	$607.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.15 / $601.34 / $1,048.56	Professional		$461.15	$601.34	$1,048.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.54 / $771.02 / $1,587.00	Facility		$325.54	$771.02	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $539.86 / $901.38	Professional		$384.82	$539.86	$901.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $681.56	Professional		$32.34	$32.34	$681.56
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.82 / $568.01 / $1,148.18	Professional		$433.82	$568.01	$1,148.18