Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.74 / $865.67 / $8,229.00	Facility		$628.74	$865.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.74 / $733.68 / $1,242.28	Professional		$628.74	$733.68	$1,242.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $4,043.00 / $12,108.00	Facility		$1,919.00	$4,043.00	$12,108.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.63 / $716.50 / $1,018.72	Professional		$591.63	$716.50	$1,018.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.75 / $978.61 / $1,128.90	Facility		$680.75	$978.61	$1,128.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.42 / $978.61 / $1,398.02	Professional		$769.42	$978.61	$1,398.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.41 / $860.40 / $8,380.00	Facility		$852.41	$860.40	$8,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.22 / $1,006.72 / $1,403.51	Professional		$713.22	$1,006.72	$1,403.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $908.71	Professional		$32.34	$32.34	$908.71
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.39 / $961.88 / $1,410.83	Professional		$680.39	$961.88	$1,410.83