Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.84 / $289.73 / $8,229.00	Facility		$226.84	$289.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $233.84 / $289.73	Professional		$213.64	$233.84	$289.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $231.78 / $348.50	Professional		$191.28	$231.78	$348.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.59 / $304.14 / $350.85	Facility		$221.59	$304.14	$350.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $304.14 / $434.50	Professional		$217.25	$304.14	$434.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $267.61 / $267.61	Facility		$267.61	$267.61	$267.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.77 / $303.82 / $460.84	Professional		$228.77	$303.82	$460.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.98	Professional		$32.34	$32.34	$238.98
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $293.52 / $481.69	Professional		$216.32	$293.52	$481.69