Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.24 / $376.07 / $391.11	Facility		$287.24	$376.07	$391.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $415.70 / $469.39	Professional		$335.76	$415.70	$469.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.91 / $790.21 / $830.51	Facility		$491.91	$790.21	$830.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $474.60 / $482.76	Professional		$369.60	$474.60	$482.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $592.66 / $1,114.20 / $1,408.99	Facility		$592.66	$1,114.20	$1,408.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $750.70 / $1,012.71 / $1,303.84	Professional		$750.70	$1,012.71	$1,303.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $970.73	Facility		$589.44	$589.44	$970.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $4,068.61	Professional		$430.29	$589.44	$4,068.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $412.96 / $503.62 / $629.52	Professional		$412.96	$503.62	$629.52
United Facility/Professional Professional Modifier Low / Median / High Price $262.82 / $433.18 / $632.16	Professional		$262.82	$433.18	$632.16