Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.58 / $637.00 / $8,229.00	Facility		$262.58	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $270.19 / $323.17	Professional		$262.58	$270.19	$323.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $292.54 / $389.87	Professional		$242.81	$292.54	$389.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.28 / $342.15 / $394.69	Facility		$249.28	$342.15	$394.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.89 / $342.15 / $488.78	Professional		$238.89	$342.15	$488.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.41 / $300.41 / $300.41	Facility		$300.41	$300.41	$300.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.67 / $371.91 / $580.26	Professional		$259.67	$371.91	$580.26
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 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.88 / $376.32 / $526.16	Professional		$250.88	$376.32	$526.16