Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.46 / $569.34 / $2,747.00	Facility		$390.46	$569.34	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.15 / $492.52 / $617.54	Professional		$406.15	$492.52	$617.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,389.00 / $8,517.00	Facility		$1,643.00	$3,389.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $384.57 / $599.98	Professional		$306.33	$384.57	$599.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.18 / $595.14 / $686.55	Facility		$427.18	$595.14	$686.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.10 / $595.22 / $956.48	Professional		$425.10	$595.22	$956.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.22 / $782.18 / $782.18	Facility		$259.22	$782.18	$782.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.86 / $652.45 / $1,087.56	Professional		$432.86	$652.45	$1,087.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $672.85	Professional		$32.34	$32.34	$672.85
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.30 / $647.69 / $1,052.51	Professional		$444.30	$647.69	$1,052.51