Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.41 / $614.03 / $5,320.00	Facility		$415.41	$614.03	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.41 / $511.68 / $630.34	Professional		$415.41	$511.68	$630.34
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 $359.21 / $455.07 / $664.40	Professional		$359.21	$455.07	$664.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.77 / $648.89 / $748.54	Facility		$454.77	$648.89	$748.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $494.11 / $648.89 / $1,010.96	Professional		$494.11	$648.89	$1,010.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $852.82 / $852.82	Facility		$513.53	$852.82	$852.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $674.62 / $1,006.62	Professional		$476.00	$674.62	$1,006.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $657.12	Professional		$32.34	$32.34	$657.12
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 $458.57 / $635.12 / $991.80	Professional		$458.57	$635.12	$991.80