Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.79 / $465.48 / $2,747.00	Facility		$274.79	$465.48	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $369.03 / $465.48	Professional		$297.02	$369.03	$465.48
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 $219.30 / $265.74 / $422.80	Professional		$219.30	$265.74	$422.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $422.56 / $487.46	Facility		$297.33	$422.56	$487.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.36 / $425.58 / $679.12	Professional		$331.36	$425.58	$679.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.17 / $555.37 / $555.37	Facility		$283.17	$555.37	$555.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.98 / $484.68 / $808.79	Professional		$317.98	$484.68	$808.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $522.94	Professional		$32.34	$32.34	$522.94
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 $370.25 / $515.48 / $803.56	Professional		$370.25	$515.48	$803.56