Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.23 / $614.19 / $8,229.00	Facility		$442.23	$614.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.23 / $498.12 / $614.19	Professional		$442.23	$498.12	$614.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $476.20 / $648.42	Professional		$392.98	$476.20	$648.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.64 / $651.46 / $751.51	Facility		$474.64	$651.46	$751.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.44 / $651.46 / $930.66	Professional		$513.44	$651.46	$930.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $574.34 / $574.34	Facility		$574.34	$574.34	$574.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.69 / $618.36 / $940.09	Professional		$463.69	$618.36	$940.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $511.86	Professional		$32.34	$32.34	$511.86
United Facility/Professional Facility Modifier Low / Median / High Price $629.49 / $1,850.00 / $8,582.00	Facility		$629.49	$1,850.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.80 / $607.63 / $946.52	Professional		$444.80	$607.63	$946.52