Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.43 / $759.66 / $2,747.00	Facility		$510.43	$759.66	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.43 / $595.64 / $759.66	Professional		$510.43	$595.64	$759.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $457.93 / $823.86	Professional		$349.10	$457.93	$823.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $554.11 / $795.00 / $917.09	Facility		$554.11	$795.00	$917.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.08 / $795.00 / $1,135.72	Professional		$555.08	$795.00	$1,135.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $700.82 / $748.03	Facility		$700.82	$700.82	$748.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.83 / $818.16 / $1,195.30	Professional		$578.83	$818.16	$1,195.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $738.22	Professional		$32.34	$32.34	$738.22
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.12 / $707.85 / $1,128.52	Professional		$512.12	$707.85	$1,128.52