Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.29 / $637.00 / $2,747.00	Facility		$433.29	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.08 / $506.99 / $596.98	Professional		$426.08	$506.99	$596.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.98 / $449.39 / $658.48	Professional		$364.98	$449.39	$658.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.99 / $676.68 / $780.60	Facility		$472.99	$676.68	$780.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $483.34 / $676.68 / $966.68	Professional		$483.34	$676.68	$966.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.21 / $598.53 / $598.53	Facility		$511.21	$598.53	$598.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.27 / $612.32 / $866.94	Professional		$464.27	$612.32	$866.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $628.34	Professional		$32.34	$32.34	$628.34
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 $427.30 / $600.22 / $956.94	Professional		$427.30	$600.22	$956.94