Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,048.89 / $8,229.00	Facility		$637.00	$1,048.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.03 / $1,132.33 / $1,300.25	Professional		$1,007.03	$1,132.33	$1,300.25
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 $867.00 / $1,020.00 / $1,241.13	Professional		$867.00	$1,020.00	$1,241.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.78 / $1,557.51 / $1,985.82	Facility		$1,176.78	$1,557.51	$1,985.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,029.69 / $1,615.19 / $2,307.42	Professional		$1,029.69	$1,615.19	$2,307.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.63 / $1,420.75 / $1,829.00	Facility		$755.63	$1,420.75	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.27 / $1,246.38 / $2,613.94	Professional		$953.27	$1,246.38	$2,613.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $992.31	Professional		$45.00	$45.00	$992.31
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 $978.99 / $1,269.27 / $2,087.11	Professional		$978.99	$1,269.27	$2,087.11