Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.67 / $586.17 / $2,747.00	Facility		$431.67	$586.17	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.59 / $550.51 / $747.64	Professional		$405.59	$550.51	$747.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.46 / $459.53 / $643.90	Professional		$344.46	$459.53	$643.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.28 / $487.40 / $569.02	Facility		$400.28	$487.40	$569.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.43 / $562.01 / $1,052.08	Professional		$392.43	$562.01	$1,052.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.10 / $722.07 / $1,829.00	Facility		$592.10	$722.07	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.98 / $588.78 / $958.23	Professional		$434.98	$588.78	$958.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $683.85	Professional		$32.34	$32.34	$683.85
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,724.00 / $4,039.00	Facility		$590.00	$1,724.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.07 / $663.56 / $958.23	Professional		$484.07	$663.56	$958.23