Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.93 / $709.10 / $6,144.93	Facility		$395.93	$709.10	$6,144.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.14 / $474.02 / $746.58	Professional		$385.14	$474.02	$746.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $4,026.00 / $10,277.00	Facility		$1,775.00	$4,026.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $475.78 / $826.30	Professional		$356.90	$475.78	$826.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $367.14 / $503.92 / $581.30	Facility		$367.14	$503.92	$581.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.84 / $503.92 / $719.88	Professional		$351.84	$503.92	$719.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.79 / $442.79 / $511.45	Facility		$442.79	$442.79	$511.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.61 / $664.33 / $1,094.15	Professional		$380.61	$664.33	$1,094.15
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 $599.00 / $3,086.00 / $6,295.00	Facility		$599.00	$3,086.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.22 / $650.08 / $820.12	Professional		$411.22	$650.08	$820.12