Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.56 / $596.41 / $8,229.00	Facility		$401.56	$596.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.52 / $432.19 / $580.41	Professional		$388.52	$432.19	$580.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.79 / $8,584.00 / $13,733.40	Facility		$4,149.79	$8,584.00	$13,733.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.74 / $564.40 / $727.99	Professional		$479.74	$564.40	$727.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.41 / $624.02 / $719.85	Facility		$459.41	$624.02	$719.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.70 / $624.02 / $891.46	Professional		$435.70	$624.02	$891.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.53 / $551.53 / $587.74	Facility		$551.53	$551.53	$587.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.34 / $619.36 / $1,047.83	Professional		$475.34	$619.36	$1,047.83
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.77 / $648.21 / $948.84	Professional		$432.77	$648.21	$948.84