Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.59 / $976.55 / $2,747.00	Facility		$761.59	$976.55	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.59 / $881.39 / $1,033.76	Professional		$761.59	$881.39	$1,033.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.18 / $873.86 / $1,238.90	Professional		$719.18	$873.86	$1,238.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $820.98 / $1,178.03 / $1,358.94	Facility		$820.98	$1,178.03	$1,358.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $841.45 / $1,178.03 / $1,682.90	Professional		$841.45	$1,178.03	$1,682.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $961.59 / $1,032.63 / $1,032.63	Facility		$961.59	$1,032.63	$1,032.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.02 / $1,210.14 / $1,740.17	Professional		$873.02	$1,210.14	$1,740.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,093.89	Professional		$32.34	$32.34	$1,093.89
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.63 / $1,139.82 / $1,730.40	Professional		$814.63	$1,139.82	$1,730.40