Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $8,511.38	Facility		$758.58	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,202.26	Professional		$691.83	$851.14	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,511.38	Facility		$2,290.87	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,023.29	Professional		$630.96	$758.58	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,023.29	Facility		$630.96	$870.96	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,047.13	Professional		$630.96	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,862.09	Facility		$1,174.90	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $4,265.80	Professional		$758.58	$1,202.26	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,445.44	Professional		$645.65	$933.25	$1,445.44