Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.83 / $1,051.16 / $8,229.00	Facility		$754.83	$1,051.16	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.83 / $878.47 / $1,051.16	Professional		$754.83	$878.47	$1,051.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $876.22 / $1,314.15	Professional		$727.70	$876.22	$1,314.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $812.76 / $1,170.53 / $1,350.29	Facility		$812.76	$1,170.53	$1,350.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.09 / $1,170.53 / $1,672.18	Professional		$836.09	$1,170.53	$1,672.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.31 / $1,026.31 / $1,035.05	Facility		$1,026.31	$1,026.31	$1,035.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.43 / $1,207.44 / $1,710.65	Professional		$880.43	$1,207.44	$1,710.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,086.92	Professional		$32.34	$32.34	$1,086.92
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,966.00	Facility		$842.00	$4,539.00	$10,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.03 / $1,142.90 / $1,711.21	Professional		$800.03	$1,142.90	$1,711.21