Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.12 / $751.20 / $8,229.00	Facility		$488.12	$751.20	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.12 / $642.00 / $892.20	Professional		$488.12	$642.00	$892.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.34 / $455.26 / $714.37	Professional		$374.34	$455.26	$714.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $561.51 / $664.89 / $1,071.56	Professional	50	$561.51	$664.89	$1,071.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.34 / $676.47 / $773.10	Facility		$482.34	$676.47	$773.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $554.46 / $681.30 / $1,087.18	Professional		$554.46	$681.30	$1,087.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.54 / $889.07 / $1,117.44	Facility		$423.54	$889.07	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.99 / $733.41 / $2,507.03	Professional		$469.99	$733.41	$2,507.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.89	Professional		$32.34	$32.34	$326.89
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 $585.15 / $776.16 / $1,210.59	Professional		$585.15	$776.16	$1,210.59