Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.82 / $609.16 / $5,320.00	Facility		$443.82	$609.16	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.82 / $509.98 / $657.87	Professional		$443.82	$509.98	$657.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.83 / $411.79 / $690.75	Professional		$339.83	$411.79	$690.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.35 / $592.04 / $682.97	Facility		$431.35	$592.04	$682.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.37 / $592.04 / $845.78	Professional		$413.37	$592.04	$845.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.78 / $519.78 / $542.03	Facility		$519.78	$519.78	$542.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.93 / $651.82 / $1,130.99	Professional		$469.93	$651.82	$1,130.99
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 $455.65 / $685.22 / $953.13	Professional		$455.65	$685.22	$953.13