Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,949.84 / $9,120.11	Facility		$851.14	$1,949.84	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,258.93	Professional		$707.95	$851.14	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,047.13	Professional		$660.69	$776.25	$1,047.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,202.26	Facility		$812.83	$1,023.29	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,348.96	Professional		$741.31	$1,148.15	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,290.87	Facility		$1,000.00	$1,513.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $4,570.88	Professional		$741.31	$1,096.48	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,949.84 / $6,309.57	Facility		$602.56	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,513.56	Professional		$707.95	$891.25	$1,513.56