Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.40 / $735.32 / $8,229.00	Facility		$580.40	$735.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.26 / $715.70 / $933.45	Professional		$624.26	$715.70	$933.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.45 / $614.91 / $877.22	Professional		$507.45	$614.91	$877.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.19 / $738.70 / $852.13	Facility		$538.19	$738.70	$852.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.77 / $738.70 / $1,187.19	Professional		$515.77	$738.70	$1,187.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.23 / $650.23 / $877.46	Facility		$650.23	$650.23	$877.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $867.09 / $1,374.58	Professional		$656.25	$867.09	$1,374.58
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.28 / $895.97 / $1,257.50	Professional		$630.28	$895.97	$1,257.50