Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.67 / $1,067.17 / $8,229.00	Facility		$718.67	$1,067.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.86 / $836.19 / $1,067.17	Professional		$673.86	$836.19	$1,067.17
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 $645.73 / $813.55 / $1,212.00	Professional		$645.73	$813.55	$1,212.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.66 / $1,114.44 / $1,285.59	Facility		$774.66	$1,114.44	$1,285.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.63 / $1,114.44 / $1,592.06	Professional		$875.63	$1,114.44	$1,592.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.32 / $978.32 / $1,050.82	Facility		$978.32	$978.32	$1,050.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.39 / $1,146.07 / $1,759.81	Professional		$825.39	$1,146.07	$1,759.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,034.83	Professional		$32.34	$32.34	$1,034.83
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 $760.65 / $1,041.35 / $1,609.82	Professional		$760.65	$1,041.35	$1,609.82