Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.10 / $726.66 / $8,229.00	Facility		$515.10	$726.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.10 / $726.66 / $935.34	Professional		$515.10	$726.66	$935.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $8,114.00 / $9,015.00	Facility		$7,212.00	$8,114.00	$9,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.64 / $1,025.47 / $1,408.21	Professional		$871.64	$1,025.47	$1,408.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.76 / $19,011.50 / $47,249.53	Facility		$1,323.76	$19,011.50	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,314.38 / $19,715.64 / $29,573.46	Professional		$1,314.38	$19,715.64	$29,573.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,152.40 / $1,152.40 / $3,215.00	Facility		$1,152.40	$1,152.40	$3,215.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,543.24 / $4,543.24 / $4,543.24	Professional		$4,543.24	$4,543.24	$4,543.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $5,592.00 / $10,113.00	Facility		$842.00	$5,592.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.04 / $1,156.90 / $2,085.12	Professional		$785.04	$1,156.90	$2,085.12