Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.80 / $1,204.82 / $2,747.00	Facility		$618.80	$1,204.82	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.80 / $721.21 / $1,204.82	Professional		$618.80	$721.21	$1,204.82
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 $648.33 / $785.63 / $1,141.21	Professional		$648.33	$785.63	$1,141.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.54 / $961.87 / $1,109.58	Facility		$668.54	$961.87	$1,109.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.05 / $945.63 / $1,374.10	Professional		$687.05	$945.63	$1,374.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $1,186.36	Facility		$844.78	$844.78	$1,186.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.93 / $1,086.88 / $1,571.50	Professional		$736.93	$1,086.88	$1,571.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $893.17	Professional		$32.34	$32.34	$893.17
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 $707.82 / $1,018.83 / $1,489.94	Professional		$707.82	$1,018.83	$1,489.94