Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $627.82 / $8,229.00	Facility		$266.61	$627.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.61 / $375.50 / $427.22	Professional		$266.61	$375.50	$427.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $370.30 / $561.33	Professional		$235.28	$370.30	$561.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $416.79 / $480.80	Facility		$307.14	$416.79	$480.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.27 / $432.71 / $792.86	Professional		$354.27	$432.71	$792.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $547.79 / $547.79	Facility		$298.75	$547.79	$547.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.48 / $483.57 / $835.39	Professional		$312.48	$483.57	$835.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.21 / $493.35 / $855.38	Professional		$364.21	$493.35	$855.38