Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.38 / $787.00 / $8,229.00	Facility		$396.38	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $439.13 / $570.40	Professional		$403.66	$439.13	$570.40
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 $303.52 / $367.81 / $604.37	Professional		$303.52	$367.81	$604.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.11 / $582.16 / $671.57	Facility		$428.11	$582.16	$671.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.20 / $582.16 / $935.62	Professional		$478.20	$582.16	$935.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.38 / $526.04 / $526.04	Facility		$400.38	$526.04	$526.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.38 / $551.92 / $879.39	Professional		$400.38	$551.92	$879.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $366.67 / $526.08 / $830.95	Professional		$366.67	$526.08	$830.95