Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,169.61 / $8,229.00	Facility		$787.00	$1,169.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.69 / $1,022.18 / $1,181.10	Professional		$877.69	$1,022.18	$1,181.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,749.00 / $14,818.00	Facility		$8,584.00	$10,749.00	$14,818.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.38 / $1,029.21 / $1,460.57	Professional		$853.38	$1,029.21	$1,460.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.27 / $1,363.84 / $1,573.28	Facility		$947.27	$1,363.84	$1,573.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $952.25 / $1,363.84 / $1,948.34	Professional		$952.25	$1,363.84	$1,948.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.30 / $1,196.30 / $8,380.00	Facility		$1,196.30	$1,196.30	$8,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.20 / $1,445.26 / $1,994.45	Professional		$1,029.20	$1,445.26	$1,994.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,266.42	Professional		$32.34	$32.34	$1,266.42
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 $939.04 / $1,341.34 / $1,993.53	Professional		$939.04	$1,341.34	$1,993.53