Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.49 / $493.29 / $511.56	Facility		$280.49	$493.29	$511.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.24 / $414.46 / $511.56	Professional		$367.24	$414.46	$511.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.44 / $959.74 / $1,008.69	Facility		$597.44	$959.74	$1,008.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $451.88 / $469.98	Professional		$376.44	$451.88	$469.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $719.81 / $1,209.78 / $1,391.62	Facility		$719.81	$1,209.78	$1,391.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.40 / $1,151.69 / $1,583.57	Professional		$887.40	$1,151.69	$1,583.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $1,124.70	Facility		$499.17	$499.17	$1,124.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $499.17 / $4,428.38	Professional		$364.39	$499.17	$4,428.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.56 / $611.66 / $764.57	Professional		$501.56	$611.66	$764.57
United Facility/Professional Professional Modifier Low / Median / High Price $296.61 / $432.32 / $641.62	Professional		$296.61	$432.32	$641.62