Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.90 / $498.02 / $5,320.00	Facility		$221.90	$498.02	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $344.89 / $498.02	Professional		$236.24	$344.89	$498.02
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 $167.95 / $212.25 / $398.12	Professional		$167.95	$212.25	$398.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.36 / $349.94 / $403.69	Facility		$248.36	$349.94	$403.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.96 / $352.44 / $559.24	Professional		$249.96	$352.44	$559.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $459.93 / $490.40	Facility		$459.93	$459.93	$490.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $428.19 / $747.87	Professional		$285.18	$428.19	$747.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.67 / $399.45	Professional		$32.34	$91.67	$399.45
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 $345.70 / $459.87 / $752.27	Professional		$345.70	$459.87	$752.27