Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.80 / $861.44 / $9,311.00	Facility		$645.80	$861.44	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $670.21 / $866.91	Professional		$609.29	$670.21	$866.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.38 / $638.10 / $830.26	Professional		$542.38	$638.10	$830.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $634.48 / $870.86 / $1,004.59	Facility		$634.48	$870.86	$1,004.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $870.86 / $1,244.08	Professional		$608.04	$870.86	$1,244.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $764.02 / $764.02 / $764.02	Facility		$764.02	$764.02	$764.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.51 / $882.14 / $1,360.89	Professional		$649.51	$882.14	$1,360.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $684.24	Professional		$32.34	$32.34	$684.24
United Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $1,475.00 / $12,296.00	Facility		$847.00	$1,475.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.82 / $884.21 / $1,349.49	Professional		$620.82	$884.21	$1,349.49