Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,521.50 / $5,955.01	Facility		$787.00	$1,521.50	$5,955.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,423.24 / $2,241.60	Professional		$1,209.49	$1,423.24	$2,241.60
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 $1,044.01 / $1,230.77 / $1,768.89	Professional		$1,044.01	$1,230.77	$1,768.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,410.84 / $1,867.29 / $2,213.09	Facility		$1,410.84	$1,867.29	$2,213.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,383.18 / $1,798.13 / $2,766.36	Professional		$1,383.18	$1,798.13	$2,766.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.93 / $1,686.21 / $1,829.00	Facility		$1,057.93	$1,686.21	$1,829.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,048.79 / $1,048.79 / $1,048.79	Facility	62	$1,048.79	$1,048.79	$1,048.79
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.29 / $161.29 / $161.29	Facility	AS	$161.29	$161.29	$161.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.98 / $1,549.43 / $2,323.92	Professional		$1,250.98	$1,549.43	$2,323.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,798.13	Professional		$32.34	$32.34	$1,798.13
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.33 / $1,577.82 / $2,589.80	Professional		$1,285.33	$1,577.82	$2,589.80