Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.52 / $422.89 / $718.91	Facility		$409.52	$422.89	$718.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $495.52	Professional		$422.89	$422.89	$495.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $498.70 / $845.78	Facility		$478.75	$498.70	$845.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $422.89	Professional		$409.52	$422.89	$422.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $507.47 / $676.62	Facility		$422.89	$507.47	$676.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $465.18 / $651.25	Professional		$422.89	$465.18	$651.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $703.90 / $703.90	Facility		$422.89	$703.90	$703.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $592.89	Professional		$409.52	$422.89	$592.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $422.89 / $531.71	Professional		$409.01	$422.89	$531.71
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $448.26 / $470.77	Professional		$422.89	$448.26	$470.77