Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.20 / $841.12 / $8,229.00	Facility		$464.20	$841.12	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.20 / $828.93 / $924.42	Professional		$464.20	$828.93	$924.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $4,516.00 / $5,018.00	Facility		$4,014.00	$4,516.00	$5,018.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.38 / $799.70 / $1,154.17	Professional		$244.38	$799.70	$1,154.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.50 / $11,041.67 / $35,964.30	Facility		$865.50	$11,041.67	$35,964.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $841.27 / $1,295.56 / $19,875.00	Professional		$841.27	$1,295.56	$19,875.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,039.25 / $1,039.25	Facility		$1,039.25	$1,039.25	$1,039.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,328.07 / $4,328.07 / $4,328.07	Professional		$4,328.07	$4,328.07	$4,328.07
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 $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.92 / $1,250.49 / $1,801.66	Professional		$834.92	$1,250.49	$1,801.66