Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.69 / $734.68 / $2,747.00	Facility		$563.69	$734.68	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.69 / $674.04 / $793.91	Professional		$563.69	$674.04	$793.91
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 $422.24 / $562.99 / $895.52	Professional		$422.24	$562.99	$895.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.26 / $902.61 / $1,041.22	Facility		$630.26	$902.61	$1,041.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $644.72 / $902.61 / $1,289.44	Professional		$644.72	$902.61	$1,289.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.05 / $791.21 / $791.21	Facility		$555.05	$791.21	$791.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.55 / $741.11 / $1,336.39	Professional		$490.55	$741.11	$1,336.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $838.14	Professional		$32.34	$32.34	$838.14
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.67 / $761.63 / $1,321.54	Professional		$444.67	$761.63	$1,321.54