Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,210.69 / $2,747.00	Facility		$787.00	$1,210.69	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.08 / $918.47 / $1,210.69	Professional		$790.08	$918.47	$1,210.69
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 $745.46 / $903.33 / $1,303.83	Professional		$745.46	$903.33	$1,303.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.28 / $1,225.22 / $1,413.39	Facility		$850.28	$1,225.22	$1,413.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $962.68 / $1,225.22 / $1,750.32	Professional		$962.68	$1,225.22	$1,750.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.55 / $1,073.55 / $1,192.14	Facility		$1,073.55	$1,073.55	$1,192.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.35 / $1,280.24 / $1,879.19	Professional		$893.35	$1,280.24	$1,879.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,137.71	Professional		$32.34	$32.34	$1,137.71
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 $865.90 / $1,237.01 / $1,775.83	Professional		$865.90	$1,237.01	$1,775.83