Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.16 / $746.55 / $5,320.00	Facility		$673.16	$746.55	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.61 / $714.09 / $891.82	Professional		$660.61	$714.09	$891.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.47 / $521.84 / $824.91	Professional		$425.47	$521.84	$824.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $856.74 / $979.14	Facility		$614.42	$856.74	$979.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $598.19 / $856.74 / $1,223.92	Professional		$598.19	$856.74	$1,223.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.75 / $782.54 / $1,728.48	Facility		$643.75	$782.54	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.48 / $704.44 / $1,251.94	Professional		$489.48	$704.44	$1,251.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $393.71	Professional		$32.34	$32.34	$393.71
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.19 / $635.28 / $1,055.85	Professional		$484.19	$635.28	$1,055.85