Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.82 / $819.45 / $8,229.00	Facility		$534.82	$819.45	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.91 / $674.61 / $837.15	Professional		$573.91	$674.61	$837.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,018.00 / $12,101.00	Facility		$3,104.00	$5,018.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.01 / $630.34 / $870.70	Professional		$512.01	$630.34	$870.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.67 / $825.44 / $952.20	Facility		$579.67	$825.44	$952.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.60 / $826.91 / $1,326.60	Professional		$589.60	$826.91	$1,326.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $708.58 / $1,084.85 / $1,084.85	Facility		$708.58	$1,084.85	$1,084.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.14 / $956.77 / $1,476.76	Professional		$667.14	$956.77	$1,476.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $943.87	Professional		$32.34	$32.34	$943.87
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 $694.20 / $951.47 / $1,514.14	Professional		$694.20	$951.47	$1,514.14