Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.17 / $632.72 / $3,740.00	Facility		$426.17	$632.72	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.17 / $520.28 / $632.72	Professional		$426.17	$520.28	$632.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.62 / $474.20 / $650.03	Professional		$374.62	$474.20	$650.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.92 / $666.96 / $769.39	Facility		$466.92	$666.96	$769.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $666.96 / $1,021.74	Professional		$524.04	$666.96	$1,021.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.16 / $876.58 / $876.58	Facility		$539.16	$876.58	$876.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.85 / $704.01 / $1,035.70	Professional		$506.85	$704.01	$1,035.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $676.48	Professional		$32.34	$32.34	$676.48
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 $469.68 / $654.04 / $1,020.59	Professional		$469.68	$654.04	$1,020.59