Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.85 / $787.00 / $8,229.00	Facility		$293.85	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.80 / $322.91 / $395.33	Professional		$292.80	$322.91	$395.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.71 / $273.51 / $458.23	Professional		$225.71	$273.51	$458.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $434.74 / $501.51	Facility		$316.74	$434.74	$501.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.82 / $434.74 / $621.05	Professional		$349.82	$434.74	$621.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.30 / $384.91 / $384.91	Facility		$350.30	$384.91	$384.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.76 / $444.55 / $892.00	Professional		$320.76	$444.55	$892.00
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 $291.62 / $456.74 / $657.36	Professional		$291.62	$456.74	$657.36