Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.07 / $987.72 / $2,747.00	Facility		$713.07	$987.72	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.07 / $829.22 / $987.72	Professional		$713.07	$829.22	$987.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.77 / $826.49 / $1,168.14	Professional		$662.77	$826.49	$1,168.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $767.19 / $1,105.11 / $1,274.82	Facility		$767.19	$1,105.11	$1,274.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.31 / $1,105.11 / $1,578.74	Professional		$868.31	$1,105.11	$1,578.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.28 / $968.28 / $972.60	Facility		$968.28	$968.28	$972.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.84 / $1,152.50 / $1,612.58	Professional		$834.84	$1,152.50	$1,612.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,026.18	Professional		$32.34	$32.34	$1,026.18
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.72 / $1,116.25 / $1,673.58	Professional		$795.72	$1,116.25	$1,673.58