Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.90 / $1,057.33 / $2,747.00	Facility		$763.90	$1,057.33	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.90 / $890.57 / $1,057.33	Professional		$763.90	$890.57	$1,057.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.76 / $877.72 / $1,249.00	Professional		$694.76	$877.72	$1,249.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.48 / $1,187.96 / $1,370.39	Facility		$825.48	$1,187.96	$1,370.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.45 / $1,187.96 / $1,697.08	Professional		$829.45	$1,187.96	$1,697.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $1,203.59 / $1,416.00	Professional		$949.24	$1,203.59	$1,416.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,103.09	Professional		$32.34	$32.34	$1,103.09
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 $829.22 / $1,108.84 / $1,726.57	Professional		$829.22	$1,108.84	$1,726.57