Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.57 / $321.88 / $3,740.00	Facility		$202.57	$321.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $259.74 / $437.75	Professional		$194.48	$259.74	$437.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $249.03 / $400.31	Professional		$189.81	$249.03	$400.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.84 / $257.81 / $297.41	Facility		$187.84	$257.81	$297.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $279.30 / $414.34	Professional		$219.14	$279.30	$414.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.45 / $338.84 / $338.84	Facility		$261.45	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.39 / $325.50 / $564.36	Professional		$213.39	$325.50	$564.36
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.02 / $352.27 / $552.96	Professional		$255.02	$352.27	$552.96