Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.39 / $860.00 / $5,320.00	Facility		$592.39	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $612.86 / $843.60	Professional		$528.94	$612.86	$843.60
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 $427.29 / $516.52 / $796.77	Professional		$427.29	$516.52	$796.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $640.94 / $774.78 / $1,195.16	Professional	50	$640.94	$774.78	$1,195.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.96 / $756.95 / $865.09	Facility		$538.96	$756.95	$865.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $594.75 / $756.95 / $1,081.35	Professional		$594.75	$756.95	$1,081.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.01 / $667.35 / $1,117.44	Facility		$514.01	$667.35	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.47 / $662.09 / $1,275.65	Professional		$498.47	$662.09	$1,275.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $257.73	Professional		$32.34	$32.34	$257.73
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 $492.84 / $616.04 / $1,008.67	Professional		$492.84	$616.04	$1,008.67