Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,202.54 / $4,547.52	Facility		$637.00	$1,202.54	$4,547.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.12 / $822.45 / $1,202.54	Professional		$657.12	$822.45	$1,202.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.72 / $778.88 / $1,093.33	Professional		$628.72	$778.88	$1,093.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.80 / $867.93 / $1,013.29	Facility		$712.80	$867.93	$1,013.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $698.82 / $998.43 / $1,676.78	Professional		$698.82	$998.43	$1,676.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $689.27 / $1,285.83 / $1,829.00	Facility		$689.27	$1,285.83	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.72 / $925.72 / $1,749.12	Professional		$712.72	$925.72	$1,749.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,089.91	Professional		$32.34	$32.34	$1,089.91
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.50 / $999.26 / $1,826.08	Professional		$804.50	$999.26	$1,826.08