Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,300.30 / $8,229.00	Facility		$896.00	$1,300.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.71 / $1,070.76 / $1,300.30	Professional		$919.71	$1,070.76	$1,300.30
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 $874.55 / $1,065.46 / $1,529.90	Professional		$874.55	$1,065.46	$1,529.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.13 / $1,427.69 / $1,646.94	Facility		$990.13	$1,427.69	$1,646.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $996.83 / $1,427.69 / $2,039.56	Professional		$996.83	$1,427.69	$2,039.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.94 / $1,249.94 / $1,280.38	Facility		$1,249.94	$1,249.94	$1,280.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.18 / $1,501.08 / $2,105.01	Professional		$1,085.18	$1,501.08	$2,105.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,325.71	Professional		$32.34	$32.34	$1,325.71
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 $999.40 / $1,389.74 / $2,104.61	Professional		$999.40	$1,389.74	$2,104.61