Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.37 / $787.00 / $3,740.00	Facility		$463.37	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.36 / $526.08 / $638.74	Professional		$396.36	$526.08	$638.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.35 / $361.10 / $752.08	Professional		$303.35	$361.10	$752.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.13 / $754.21 / $870.03	Facility		$499.13	$754.21	$870.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $538.72 / $705.18 / $1,077.44	Professional		$538.72	$705.18	$1,077.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $710.87	Facility		$661.80	$661.80	$710.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.26 / $854.83 / $2,653.08	Professional		$510.26	$854.83	$2,653.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $700.34	Professional		$32.34	$32.34	$700.34
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 $604.29 / $1,100.70 / $2,442.23	Professional		$604.29	$1,100.70	$2,442.23