Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $605.15 / $5,320.00	Facility		$293.31	$605.15	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $501.06 / $785.24	Professional		$322.33	$501.06	$785.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $319.02 / $503.48	Professional		$268.00	$319.02	$503.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.96 / $463.60 / $534.79	Facility		$328.96	$463.60	$534.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.12 / $469.64 / $793.63	Professional		$363.12	$469.64	$793.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.47 / $609.29 / $609.29	Facility		$345.47	$609.29	$609.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $680.17 / $1,364.67	Professional		$387.54	$680.17	$1,364.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $715.18	Professional		$32.34	$32.34	$715.18
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.99 / $810.64 / $1,329.21	Professional		$611.99	$810.64	$1,329.21