Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.22 / $787.00 / $8,229.00	Facility		$352.22	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.22 / $361.93 / $433.50	Professional		$352.22	$361.93	$433.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.43 / $392.37 / $500.40	Professional		$327.43	$392.37	$500.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.90 / $461.05 / $531.85	Facility		$335.90	$461.05	$531.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.36 / $461.05 / $658.64	Professional		$370.36	$461.05	$658.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.85 / $403.88 / $403.88	Facility		$364.85	$403.88	$403.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $484.80 / $777.79	Professional		$348.05	$484.80	$777.79
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 $334.97 / $499.65 / $704.84	Professional		$334.97	$499.65	$704.84