Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.41 / $806.89 / $5,320.00	Facility		$601.41	$806.89	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $702.15 / $908.91	Professional		$601.41	$702.15	$908.91
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 $554.17 / $665.34 / $933.34	Professional		$554.17	$665.34	$933.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $937.17 / $1,081.09	Facility		$654.04	$937.17	$1,081.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.35 / $937.17 / $1,338.82	Professional		$736.35	$937.17	$1,338.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.52 / $827.67 / $827.67	Facility		$794.52	$827.67	$827.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.98 / $962.67 / $1,344.14	Professional		$676.98	$962.67	$1,344.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $870.23	Professional		$32.34	$32.34	$870.23
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 $643.07 / $867.84 / $1,368.44	Professional		$643.07	$867.84	$1,368.44