Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $787.00 / $8,229.00	Facility		$613.78	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.78 / $714.44 / $1,054.74	Professional		$613.78	$714.44	$1,054.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $703.59 / $1,045.61	Professional		$553.15	$703.59	$1,045.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.39 / $953.41 / $1,099.83	Facility		$662.39	$953.41	$1,099.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $665.69 / $953.41 / $1,362.02	Professional		$665.69	$953.41	$1,362.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $836.97 / $1,038.58	Facility		$836.97	$836.97	$1,038.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.70 / $980.61 / $1,418.54	Professional		$694.70	$980.61	$1,418.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $885.31	Professional		$32.34	$32.34	$885.31
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.91 / $891.00 / $1,375.76	Professional		$647.91	$891.00	$1,375.76