Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.88 / $834.87 / $8,229.00	Facility		$661.88	$834.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $765.94 / $1,036.31	Professional		$661.88	$765.94	$1,036.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.72 / $696.43 / $1,068.59	Professional		$574.72	$696.43	$1,068.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.30 / $1,006.57 / $1,161.15	Facility		$708.30	$1,006.57	$1,161.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $718.98 / $1,006.57 / $1,437.96	Professional		$718.98	$1,006.57	$1,437.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.09 / $904.09 / $1,020.43	Facility		$904.09	$904.09	$1,020.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.84 / $1,025.43 / $1,422.58	Professional		$742.84	$1,025.43	$1,422.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $934.67	Professional		$32.34	$32.34	$934.67
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 $653.11 / $937.32 / $1,418.01	Professional		$653.11	$937.32	$1,418.01