Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.59 / $809.25 / $8,229.00	Facility		$589.59	$809.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.59 / $675.54 / $874.17	Professional		$589.59	$675.54	$874.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.28 / $587.39 / $823.04	Professional		$499.28	$587.39	$823.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.55 / $780.33 / $900.16	Facility		$571.55	$780.33	$900.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.57 / $780.33 / $1,114.76	Professional		$611.57	$780.33	$1,114.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.52 / $685.52 / $685.52	Facility		$685.52	$685.52	$685.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.72 / $892.66 / $1,598.56	Professional		$628.72	$892.66	$1,598.56
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $985.01 / $1,295.21	Professional		$627.29	$985.01	$1,295.21