Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.94 / $523.29 / $8,229.00	Facility		$373.94	$523.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.94 / $423.37 / $485.83	Professional		$373.94	$423.37	$485.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.35 / $419.69 / $669.70	Professional		$346.35	$419.69	$669.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.53 / $605.82 / $698.86	Facility		$448.53	$605.82	$698.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.33 / $605.82 / $865.46	Professional		$455.33	$605.82	$865.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $532.66 / $532.66 / $646.75	Facility		$532.66	$532.66	$646.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.89 / $625.00 / $891.92	Professional		$443.89	$625.00	$891.92
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 $434.04 / $589.61 / $903.61	Professional		$434.04	$589.61	$903.61