Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.89 / $860.00 / $8,229.00	Facility		$492.89	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $575.46 / $721.73	Professional		$492.89	$575.46	$721.73
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 $454.18 / $566.64 / $846.62	Professional		$454.18	$566.64	$846.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $535.23 / $767.40 / $885.25	Facility		$535.23	$767.40	$885.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $548.14 / $767.40 / $1,096.28	Professional		$548.14	$767.40	$1,096.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $677.02 / $710.67	Facility		$677.02	$677.02	$710.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.86 / $800.21 / $1,165.76	Professional		$568.86	$800.21	$1,165.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $712.58	Professional		$32.34	$32.34	$712.58
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 $511.34 / $722.42 / $1,096.06	Professional		$511.34	$722.42	$1,096.06