Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.94 / $816.60 / $8,229.00	Facility		$405.94	$816.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $422.70 / $656.86	Professional		$375.80	$422.70	$656.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.75 / $371.72 / $571.79	Professional		$306.75	$371.72	$571.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.95 / $548.94 / $633.25	Facility		$399.95	$548.94	$633.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $383.28 / $548.94 / $784.20	Professional		$383.28	$548.94	$784.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $481.34 / $481.34	Facility		$481.34	$481.34	$481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.89 / $497.11 / $778.29	Professional		$400.89	$497.11	$778.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $431.31	Professional		$32.34	$32.34	$431.31
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.95 / $470.73 / $806.36	Professional		$363.95	$470.73	$806.36