Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.06 / $564.75 / $2,747.00	Facility		$232.06	$564.75	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.44 / $339.58 / $527.28	Professional		$246.44	$339.58	$527.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.95 / $228.58 / $434.79	Professional		$185.95	$228.58	$434.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $363.83 / $419.71	Facility		$257.13	$363.83	$419.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.43 / $364.48 / $584.73	Professional		$284.43	$364.48	$584.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $478.18 / $488.69	Facility		$478.18	$478.18	$488.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.47 / $479.40 / $796.99	Professional		$315.47	$479.40	$796.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $483.51	Professional		$32.34	$32.34	$483.51
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $511.84 / $795.33	Professional		$365.00	$511.84	$795.33