Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.07 / $1,150.33 / $8,229.00	Facility		$692.07	$1,150.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.07 / $800.16 / $1,150.33	Professional		$692.07	$800.16	$1,150.33
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 $640.65 / $766.11 / $1,217.08	Professional		$640.65	$766.11	$1,217.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.09 / $1,075.86 / $1,241.09	Facility		$750.09	$1,075.86	$1,241.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $768.48 / $1,075.86 / $1,536.96	Professional		$768.48	$1,075.86	$1,536.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.84 / $944.84 / $1,132.72	Facility		$944.84	$944.84	$1,132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.60 / $1,111.41 / $1,677.88	Professional		$778.60	$1,111.41	$1,677.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $999.02	Professional		$32.34	$32.34	$999.02
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 $763.35 / $1,048.18 / $1,554.32	Professional		$763.35	$1,048.18	$1,554.32