Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.10 / $860.00 / $9,311.00	Facility		$235.10	$860.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $241.98 / $289.35	Professional		$235.10	$241.98	$289.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,174.00 / $4,399.00 / $10,319.00	Facility		$2,174.00	$4,399.00	$10,319.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $265.26 / $352.80	Professional		$218.90	$265.26	$352.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.59 / $308.27 / $355.60	Facility		$224.59	$308.27	$355.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $308.27 / $440.38	Professional		$220.19	$308.27	$440.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.84 / $269.81 / $269.81	Facility		$234.84	$269.81	$269.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $340.62 / $525.16	Professional		$231.93	$340.62	$525.16
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 / $2,723.00 / $20,243.00	Facility		$599.00	$2,723.00	$20,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.94 / $327.81 / $469.46	Professional		$223.94	$327.81	$469.46