Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.39 / $1,013.46 / $8,229.00	Facility		$689.39	$1,013.46	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.39 / $801.94 / $1,013.46	Professional		$689.39	$801.94	$1,013.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.38 / $767.30 / $1,123.67	Professional		$620.38	$767.30	$1,123.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.18 / $1,070.13 / $1,234.47	Facility		$743.18	$1,070.13	$1,234.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $841.02 / $1,070.13 / $1,528.76	Professional		$841.02	$1,070.13	$1,528.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.52 / $938.52 / $997.93	Facility		$938.52	$938.52	$997.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.92 / $1,086.68 / $1,651.89	Professional		$779.92	$1,086.68	$1,651.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $993.69	Professional		$32.34	$32.34	$993.69
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 $715.86 / $991.52 / $1,549.20	Professional		$715.86	$991.52	$1,549.20