Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.55 / $1,040.07 / $2,747.00	Facility		$498.55	$1,040.07	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $581.96 / $1,040.07	Professional		$498.55	$581.96	$1,040.07
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 $519.72 / $629.78 / $955.48	Professional		$519.72	$629.78	$955.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $776.03 / $895.20	Facility		$541.20	$776.03	$895.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.84 / $766.29 / $1,108.61	Professional		$541.84	$766.29	$1,108.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $1,024.13	Facility		$684.46	$684.46	$1,024.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.05 / $916.76 / $1,285.94	Professional		$602.05	$916.76	$1,285.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $720.60	Professional		$32.34	$32.34	$720.60
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.79 / $814.80 / $1,198.18	Professional		$571.79	$814.80	$1,198.18