Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.13 / $895.27 / $2,747.00	Facility		$582.13	$895.27	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.13 / $678.33 / $895.27	Professional		$582.13	$678.33	$895.27
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 $524.79 / $664.47 / $998.00	Professional		$524.79	$664.47	$998.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.86 / $904.99 / $1,043.97	Facility		$629.86	$904.99	$1,043.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $711.06 / $904.99 / $1,292.83	Professional		$711.06	$904.99	$1,292.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.05 / $796.05 / $881.56	Facility		$796.05	$796.05	$881.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $938.52 / $1,440.37	Professional		$676.16	$938.52	$1,440.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $840.35	Professional		$32.34	$32.34	$840.35
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 $614.25 / $858.10 / $1,304.34	Professional		$614.25	$858.10	$1,304.34