Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.56 / $1,095.35 / $8,229.00	Facility		$754.56	$1,095.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.56 / $878.49 / $1,095.35	Professional		$754.56	$878.49	$1,095.35
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 $698.52 / $859.43 / $1,307.11	Professional		$698.52	$859.43	$1,307.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $813.33 / $1,170.90 / $1,350.73	Facility		$813.33	$1,170.90	$1,350.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $817.54 / $1,170.90 / $1,672.72	Professional		$817.54	$1,170.90	$1,672.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,078.57	Facility		$1,027.05	$1,027.05	$1,078.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.30 / $1,245.40 / $1,734.95	Professional		$854.30	$1,245.40	$1,734.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,087.27	Professional		$32.34	$32.34	$1,087.27
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.08 / $1,132.28 / $1,694.18	Professional		$804.08	$1,132.28	$1,694.18