Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.04 / $1,306.15 / $8,229.00	Facility		$745.04	$1,306.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.04 / $864.56 / $1,306.15	Professional		$745.04	$864.56	$1,306.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.30 / $928.59 / $1,397.20	Professional		$766.30	$928.59	$1,397.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $798.05 / $1,153.33 / $1,330.46	Facility		$798.05	$1,153.33	$1,330.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.27 / $1,153.33 / $1,647.62	Professional		$805.27	$1,153.33	$1,647.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.63 / $1,009.63 / $1,286.14	Facility		$1,009.63	$1,009.63	$1,286.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.10 / $1,313.40 / $1,885.41	Professional		$885.10	$1,313.40	$1,885.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,070.95	Professional		$32.34	$32.34	$1,070.95
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 $863.94 / $1,238.20 / $1,752.71	Professional		$863.94	$1,238.20	$1,752.71