Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.79 / $756.00 / $8,229.00	Facility		$523.79	$756.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $660.70 / $809.86	Professional		$523.79	$660.70	$809.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.53 / $506.51 / $805.39	Professional		$430.53	$506.51	$805.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.64 / $798.06 / $920.61	Facility		$571.64	$798.06	$920.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $570.04 / $798.06 / $1,140.08	Professional		$570.04	$798.06	$1,140.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.93 / $1,048.86 / $1,048.86	Facility		$479.93	$1,048.86	$1,048.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.16 / $867.32 / $1,364.52	Professional		$521.16	$867.32	$1,364.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $881.56	Professional		$32.34	$32.34	$881.56
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 $594.17 / $853.21 / $1,367.73	Professional		$594.17	$853.21	$1,367.73