Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,197.00 / $10,268.00	Facility		$900.00	$4,197.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $516.41 / $1,136.17	Professional		$49.00	$516.41	$1,136.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $214.90 / $388.37	Professional		$175.10	$214.90	$388.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.66 / $1,001.74 / $13,455.71	Facility		$234.66	$1,001.74	$13,455.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $708.17 / $741.89 / $741.89	Professional		$708.17	$741.89	$741.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $549.54 / $549.54	Professional		$60.00	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.37 / $553.37 / $553.37	Professional		$553.37	$553.37	$553.37