Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.61 / $1,341.67 / $8,229.00	Facility		$770.61	$1,341.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.61 / $896.40 / $1,474.62	Professional		$770.61	$896.40	$1,474.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.77 / $889.21 / $1,262.20	Professional		$731.77	$889.21	$1,262.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $830.02 / $1,195.46 / $1,379.06	Facility		$830.02	$1,195.46	$1,379.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $834.69 / $1,195.46 / $1,707.80	Professional		$834.69	$1,195.46	$1,707.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.41 / $1,048.25 / $1,048.25	Facility		$1,020.41	$1,048.25	$1,048.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.75 / $1,240.52 / $1,735.27	Professional		$898.75	$1,240.52	$1,735.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,110.07	Professional		$32.34	$32.34	$1,110.07
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.89 / $1,159.84 / $1,738.16	Professional		$811.89	$1,159.84	$1,738.16