Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $833.10 / $8,229.00	Facility		$637.00	$833.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.52 / $827.86 / $1,008.77	Professional		$728.52	$827.86	$1,008.77
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 $666.31 / $783.90 / $1,154.13	Professional		$666.31	$783.90	$1,154.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $1,000.91 / $1,387.13	Facility		$822.00	$1,000.91	$1,387.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $787.75 / $1,128.23 / $1,611.76	Professional		$787.75	$1,128.23	$1,611.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.48 / $991.33 / $1,829.00	Facility		$648.48	$991.33	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.16 / $949.04 / $1,634.20	Professional		$730.16	$949.04	$1,634.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,047.64	Professional		$32.34	$32.34	$1,047.64
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,945.00 / $5,995.00	Facility		$800.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.43 / $899.13 / $1,434.14	Professional		$728.43	$899.13	$1,434.14