Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.54 / $787.00 / $8,229.00	Facility		$587.54	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $684.84 / $1,040.78	Professional		$587.54	$684.84	$1,040.78
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 $603.38 / $731.17 / $1,054.00	Professional		$603.38	$731.17	$1,054.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $634.52 / $912.48 / $1,052.59	Facility		$634.52	$912.48	$1,052.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $716.95 / $912.48 / $1,303.54	Professional		$716.95	$912.48	$1,303.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $1,024.83	Facility		$801.63	$801.63	$1,024.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.51 / $988.00 / $1,480.70	Professional		$694.51	$988.00	$1,480.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $847.30	Professional		$32.34	$32.34	$847.30
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 $678.84 / $967.35 / $1,385.39	Professional		$678.84	$967.35	$1,385.39