Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.11 / $600.88 / $3,740.00	Facility		$406.11	$600.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.58 / $477.21 / $600.88	Professional		$403.58	$477.21	$600.88
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 $358.59 / $435.93 / $621.60	Professional		$358.59	$435.93	$621.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.09 / $635.10 / $732.62	Facility		$445.09	$635.10	$732.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.64 / $635.10 / $966.84	Professional		$453.64	$635.10	$966.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.20 / $834.70 / $834.70	Facility		$506.20	$834.70	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.48 / $659.00 / $971.82	Professional		$485.48	$659.00	$971.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $628.45	Professional		$32.34	$32.34	$628.45
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 $423.39 / $606.24 / $946.83	Professional		$423.39	$606.24	$946.83