Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.39 / $1,243.00 / $8,229.00	Facility		$382.39	$1,243.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.39 / $447.88 / $638.19	Professional		$382.39	$447.88	$638.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.64 / $443.90 / $667.36	Professional		$360.64	$443.90	$667.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.14 / $595.71 / $687.19	Facility		$416.14	$595.71	$687.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.06 / $595.71 / $851.02	Professional		$468.06	$595.71	$851.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $526.36 / $628.41	Facility		$526.36	$526.36	$628.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.13 / $628.41 / $941.01	Professional		$441.13	$628.41	$941.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $553.16	Professional		$32.34	$32.34	$553.16
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.64 / $579.64 / $851.24	Professional		$412.64	$579.64	$851.24