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 $198.46 / $250.68 / $401.23	Professional		$198.46	$250.68	$401.23
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 $197.53 / $257.45 / $452.53	Professional		$197.53	$257.45	$452.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.82 / $3,575.01 / $8,228.93	Facility		$307.82	$3,575.01	$8,228.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $4,196.75 / $6,857.45	Professional		$279.77	$4,196.75	$6,857.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.37 / $292.37 / $21,571.00	Facility		$292.37	$292.37	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.68 / $1,217.68 / $1,217.68	Professional		$1,217.68	$1,217.68	$1,217.68
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 $1,050.00 / $2,883.00 / $5,708.00	Facility		$1,050.00	$2,883.00	$5,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.58 / $318.55 / $594.82	Professional		$239.58	$318.55	$594.82