Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,088.85 / $2,747.00	Facility		$787.00	$1,088.85	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.10 / $1,035.23 / $1,121.48	Professional		$889.10	$1,035.23	$1,121.48
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 $534.61 / $845.63 / $1,373.16	Professional		$534.61	$845.63	$1,373.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.69 / $1,380.53 / $1,592.54	Facility		$957.69	$1,380.53	$1,592.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,084.70 / $1,353.52 / $1,972.18	Professional		$1,084.70	$1,353.52	$1,972.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,072.17 / $1,208.95 / $1,208.95	Facility		$1,072.17	$1,208.95	$1,208.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.66 / $1,096.97 / $2,038.02	Professional		$662.66	$1,096.97	$2,038.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,281.92	Professional		$32.34	$32.34	$1,281.92
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.77 / $1,211.08 / $2,007.08	Professional		$601.77	$1,211.08	$2,007.08