Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.02 / $513.54 / $8,229.00	Facility		$353.02	$513.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.69 / $353.02 / $419.82	Professional		$300.69	$353.02	$419.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,261.00 / $11,433.00	Facility		$2,320.00	$4,261.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.32 / $374.88 / $801.47	Professional		$306.32	$374.88	$801.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $483.06 / $557.23	Facility		$356.04	$483.06	$557.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.96 / $483.92 / $776.34	Professional		$380.96	$483.92	$776.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.33 / $634.87 / $634.87	Facility		$423.33	$634.87	$634.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.17 / $502.51 / $765.32	Professional		$373.17	$502.51	$765.32
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 $329.95 / $459.15 / $750.99	Professional		$329.95	$459.15	$750.99