Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.95 / $870.04 / $8,229.00	Facility		$437.95	$870.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $508.68 / $870.04	Professional		$437.95	$508.68	$870.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.73 / $508.39 / $698.30	Professional		$392.73	$508.39	$698.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $675.99 / $779.80	Facility		$475.20	$675.99	$779.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.99 / $675.99 / $965.70	Professional		$471.99	$675.99	$965.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.83 / $594.91 / $594.91	Facility		$541.83	$594.91	$594.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $729.79 / $1,111.71	Professional		$514.91	$729.79	$1,111.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $627.71	Professional		$32.34	$32.34	$627.71
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 $464.18 / $654.25 / $1,016.14	Professional		$464.18	$654.25	$1,016.14