Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.33 / $530.97 / $5,320.00	Facility		$273.33	$530.97	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $373.62 / $648.07	Professional		$273.33	$373.62	$648.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.27 / $259.10 / $420.91	Professional		$171.27	$259.10	$420.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.04 / $426.43 / $491.91	Facility		$297.04	$426.43	$491.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.50 / $440.74 / $685.33	Professional		$335.50	$440.74	$685.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.79 / $560.45 / $560.45	Facility		$244.79	$560.45	$560.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.57 / $419.96 / $851.94	Professional		$240.57	$419.96	$851.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $592.89	Professional		$32.34	$32.34	$592.89
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 $256.76 / $532.32 / $914.08	Professional		$256.76	$532.32	$914.08