Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,623.41 / $10,964.78	Facility		$562.34	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $616.60	Professional		$416.87	$478.63	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $29,512.09	Facility		$5,888.44	$10,715.19	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $398.11	Professional		$288.40	$338.84	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $630.96	Facility		$371.54	$537.03	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $645.65	Professional		$426.58	$549.54	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $724.44 / $724.44	Facility		$34.67	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,949.84	Professional		$489.78	$794.33	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $870.96	Professional		$426.58	$660.69	$870.96