Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.70 / $732.26 / $5,320.00	Facility		$254.70	$732.26	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $397.62 / $634.89	Professional		$276.32	$397.62	$634.89
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 $270.64 / $327.97 / $531.65	Professional		$270.64	$327.97	$531.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $395.84 / $456.63	Facility		$276.41	$395.84	$456.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.01 / $408.06 / $660.41	Professional		$311.01	$408.06	$660.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $520.24 / $520.39	Facility		$520.24	$520.24	$520.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $542.37 / $867.18	Professional		$352.21	$542.37	$867.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $557.49	Professional		$32.34	$32.34	$557.49
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.89 / $577.66 / $830.30	Professional		$421.89	$577.66	$830.30