Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.71 / $343.43 / $8,229.00	Facility		$224.71	$343.43	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.71 / $257.27 / $333.81	Professional		$224.71	$257.27	$333.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $276.70 / $335.23	Professional		$232.04	$276.70	$335.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.79 / $298.62 / $344.49	Facility		$218.79	$298.62	$344.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $298.62 / $426.60	Professional		$213.30	$298.62	$426.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.74 / $262.74 / $262.74	Facility		$262.74	$262.74	$262.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $330.63 / $596.52	Professional		$240.67	$330.63	$596.52
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 $233.92 / $367.13 / $483.40	Professional		$233.92	$367.13	$483.40