Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.24 / $787.00 / $5,320.00	Facility		$423.24	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.24 / $494.51 / $664.46	Professional		$423.24	$494.51	$664.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.31 / $483.27 / $720.75	Professional		$380.31	$483.27	$720.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.84 / $659.33 / $760.59	Facility		$460.84	$659.33	$760.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $460.35 / $659.33 / $941.90	Professional		$460.35	$659.33	$941.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $583.27 / $654.28	Facility		$583.27	$583.27	$654.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $683.05 / $1,030.44	Professional		$482.93	$683.05	$1,030.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $612.24	Professional		$32.34	$32.34	$612.24
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 $455.27 / $610.04 / $937.06	Professional		$455.27	$610.04	$937.06