Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.05 / $860.00 / $8,229.00	Facility		$269.05	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.05 / $275.75 / $382.41	Professional		$269.05	$275.75	$382.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.11 / $337.66 / $462.90	Professional		$283.11	$337.66	$462.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $362.03 / $417.62	Facility		$263.05	$362.03	$417.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.45 / $362.03 / $517.17	Professional		$281.45	$362.03	$517.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $315.85 / $315.85	Facility		$315.85	$315.85	$315.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.62 / $416.34 / $632.50	Professional		$268.62	$416.34	$632.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $284.45	Professional		$32.34	$32.34	$284.45
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.16 / $411.07 / $582.33	Professional		$267.16	$411.07	$582.33