Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.58 / $978.83 / $8,229.00	Facility		$626.58	$978.83	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $725.30 / $978.83	Professional		$626.58	$725.30	$978.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.80 / $684.42 / $1,010.06	Professional		$564.80	$684.42	$1,010.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $670.92 / $952.24 / $1,098.47	Facility		$670.92	$952.24	$1,098.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.19 / $952.24 / $1,360.34	Professional		$748.19	$952.24	$1,360.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.48 / $857.48 / $963.83	Facility		$857.48	$857.48	$963.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.19 / $963.83 / $1,439.08	Professional		$703.19	$963.83	$1,439.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $884.22	Professional		$32.34	$32.34	$884.22
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 $636.51 / $895.82 / $1,335.12	Professional		$636.51	$895.82	$1,335.12