Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.27 / $649.25 / $5,320.00	Facility		$484.27	$649.25	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $567.90 / $766.40	Professional		$414.89	$567.90	$766.40
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 $348.38 / $422.17 / $644.90	Professional		$348.38	$422.17	$644.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.16 / $598.17 / $683.63	Facility		$426.16	$598.17	$683.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $427.27 / $599.25 / $961.36	Professional		$427.27	$599.25	$961.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.72 / $786.18 / $1,322.53	Facility		$495.72	$786.18	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.61 / $647.08 / $2,213.92	Professional		$435.61	$647.08	$2,213.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.64	Professional		$32.34	$32.34	$265.64
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 $520.58 / $669.32 / $1,128.70	Professional		$520.58	$669.32	$1,128.70