Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.03 / $823.05 / $2,747.00	Facility		$611.03	$823.05	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.03 / $762.52 / $943.42	Professional		$611.03	$762.52	$943.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.91 / $686.82 / $989.50	Professional		$579.91	$686.82	$989.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.10 / $825.68 / $963.96	Facility		$678.10	$825.68	$963.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $664.80 / $937.37 / $1,561.66	Professional		$664.80	$937.37	$1,561.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.09 / $1,223.23 / $1,829.00	Facility		$607.09	$1,223.23	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.27 / $882.18 / $1,399.25	Professional		$687.27	$882.18	$1,399.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,015.08	Professional		$32.34	$32.34	$1,015.08
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.23 / $929.31 / $1,461.93	Professional		$757.23	$929.31	$1,461.93