Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.84 / $787.00 / $8,229.00	Facility		$402.84	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.84 / $416.62 / $517.57	Professional		$402.84	$416.62	$517.57
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 $358.60 / $434.55 / $619.50	Professional		$358.60	$434.55	$619.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.21 / $531.57 / $613.21	Facility		$388.21	$531.57	$613.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.15 / $531.57 / $759.38	Professional		$371.15	$531.57	$759.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $465.37 / $465.37	Facility		$435.80	$465.37	$465.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.11 / $574.28 / $873.86	Professional		$396.11	$574.28	$873.86
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.86 / $536.79 / $794.27	Professional		$366.86	$536.79	$794.27