Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.07 / $787.00 / $8,229.00	Facility		$522.07	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.07 / $538.08 / $642.54	Professional		$522.07	$538.08	$642.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.40 / $583.77 / $822.10	Professional		$487.40	$583.77	$822.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.86 / $684.71 / $789.87	Facility		$498.86	$684.71	$789.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.42 / $684.71 / $1,100.43	Professional		$533.42	$684.71	$1,100.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.84 / $600.11 / $600.11	Facility		$540.84	$600.11	$600.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.75 / $758.05 / $1,156.99	Professional		$516.75	$758.05	$1,156.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.86 / $750.70 / $1,046.75	Professional		$514.86	$750.70	$1,046.75