Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $875.00 / $8,229.00	Facility		$637.00	$875.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $656.25 / $656.25	Professional		$92.44	$656.25	$656.25
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 $170.00 / $200.00 / $240.00	Professional		$170.00	$200.00	$240.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $263.99 / $312.88	Facility		$234.66	$263.99	$312.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $254.21 / $322.64	Professional		$202.79	$254.21	$322.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.00 / $1,829.00 / $1,829.00	Facility		$1,829.00	$1,829.00	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.63 / $3,365.79 / $3,365.79	Professional		$726.63	$3,365.79	$3,365.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $195.54	Professional		$45.00	$45.00	$195.54
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00