Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.00 / $7,342.00 / $11,627.00	Facility		$1,984.00	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $235.91 / $377.62	Professional		$179.75	$235.91	$377.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $259.23 / $469.90	Professional		$199.41	$259.23	$469.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.23 / $3,214.11 / $7,734.50	Facility		$253.23	$3,214.11	$7,734.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $3,944.59 / $6,445.41	Professional		$262.97	$3,944.59	$6,445.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.16 / $275.16 / $21,571.00	Facility		$275.16	$275.16	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.96 / $1,145.96 / $1,145.96	Professional		$1,145.96	$1,145.96	$1,145.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,231.00 / $10,075.00	Facility		$2,912.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.27 / $285.16 / $564.29	Professional		$217.27	$285.16	$564.29