Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.30 / $883.44 / $3,104.32	Facility		$311.30	$883.44	$3,104.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.30 / $603.05 / $1,097.97	Professional		$311.30	$603.05	$1,097.97
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 $200.91 / $255.50 / $520.37	Professional		$200.91	$255.50	$520.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.69 / $513.58 / $592.44	Facility		$377.69	$513.58	$592.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.54 / $586.94 / $1,259.33	Professional		$436.54	$586.94	$1,259.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.60 / $674.99 / $674.99	Facility		$286.60	$674.99	$674.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.34 / $722.10 / $1,588.48	Professional		$331.34	$722.10	$1,588.48
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.57 / $959.30 / $1,680.90	Professional		$735.57	$959.30	$1,680.90