Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.69 / $724.61 / $5,320.00	Facility		$594.69	$724.61	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.69 / $714.49 / $861.46	Professional		$594.69	$714.49	$861.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.35 / $647.51 / $884.50	Professional		$534.35	$647.51	$884.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.92 / $811.90 / $922.24	Facility		$671.92	$811.90	$922.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $658.74 / $928.82 / $1,572.78	Professional		$658.74	$928.82	$1,572.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.97 / $1,212.08 / $1,212.08	Facility		$526.97	$1,212.08	$1,212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.94 / $806.07 / $1,519.97	Professional		$610.94	$806.07	$1,519.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,022.31	Professional		$32.34	$32.34	$1,022.31
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 $667.91 / $849.78 / $1,399.63	Professional		$667.91	$849.78	$1,399.63