Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.86 / $1,264.91 / $8,229.00	Facility		$729.86	$1,264.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.86 / $843.71 / $1,154.43	Professional		$729.86	$843.71	$1,154.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.48 / $813.68 / $1,206.55	Professional		$671.48	$813.68	$1,206.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.64 / $1,110.49 / $1,281.04	Facility		$779.64	$1,110.49	$1,281.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $775.36 / $1,110.49 / $1,586.42	Professional		$775.36	$1,110.49	$1,586.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.19 / $993.19 / $1,136.74	Facility		$993.19	$993.19	$1,136.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.65 / $1,144.33 / $1,702.02	Professional		$818.65	$1,144.33	$1,702.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,031.17	Professional		$32.34	$32.34	$1,031.17
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.71 / $1,070.58 / $1,573.65	Professional		$755.71	$1,070.58	$1,573.65