Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.53 / $1,033.23 / $2,747.00	Facility		$696.53	$1,033.23	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $805.61 / $1,033.23	Professional		$685.77	$805.61	$1,033.23
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 $633.08 / $767.14 / $1,129.33	Professional		$633.08	$767.14	$1,129.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $746.38 / $1,061.54 / $1,224.55	Facility		$746.38	$1,061.54	$1,224.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.24 / $1,061.54 / $1,516.48	Professional		$758.24	$1,061.54	$1,516.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.32 / $950.32 / $1,017.40	Facility		$950.32	$950.32	$1,017.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.45 / $1,083.84 / $1,617.24	Professional		$781.45	$1,083.84	$1,617.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $985.71	Professional		$32.34	$32.34	$985.71
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 $707.42 / $988.15 / $1,494.23	Professional		$707.42	$988.15	$1,494.23