Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.42 / $503.95 / $3,740.00	Facility		$219.42	$503.95	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $334.49 / $503.95	Professional		$225.28	$334.49	$503.95
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 $165.27 / $208.36 / $386.24	Professional		$165.27	$208.36	$386.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.90 / $344.57 / $397.48	Facility		$243.90	$344.57	$397.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $349.92 / $553.77	Professional		$269.63	$349.92	$553.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.35 / $452.86 / $452.86	Facility		$408.35	$452.86	$452.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $421.80 / $748.69	Professional		$281.00	$421.80	$748.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $476.32	Professional		$32.34	$32.34	$476.32
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 $329.82 / $506.29 / $768.89	Professional		$329.82	$506.29	$768.89