Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.65 / $730.61 / $5,320.00	Facility		$449.65	$730.61	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $462.57 / $616.61	Professional		$411.71	$462.57	$616.61
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 $324.50 / $389.65 / $599.01	Professional		$324.50	$389.65	$599.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.81 / $555.95 / $635.38	Facility		$395.81	$555.95	$635.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.18 / $555.95 / $794.22	Professional		$388.18	$555.95	$794.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.36 / $490.28 / $1,117.44	Facility		$401.36	$490.28	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.30 / $514.15 / $928.03	Professional		$365.30	$514.15	$928.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $355.29	Professional		$32.34	$32.34	$355.29
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 $358.87 / $470.13 / $756.73	Professional		$358.87	$470.13	$756.73