Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $348.32 / $2,747.00	Facility		$165.35	$348.32	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.35 / $238.28 / $338.56	Professional		$165.35	$238.28	$338.56
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 $136.88 / $164.50 / $293.17	Professional		$136.88	$164.50	$293.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $290.01 / $334.55	Facility		$202.40	$290.01	$334.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $292.08 / $466.09	Professional		$207.15	$292.08	$466.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.57 / $381.16 / $381.16	Facility		$269.57	$381.16	$381.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $337.85 / $616.91	Professional		$222.93	$337.85	$616.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $411.65	Professional		$32.34	$32.34	$411.65
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 $259.26 / $366.21 / $572.17	Professional		$259.26	$366.21	$572.17