Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.78 / $1,836.88 / $12,537.00	Facility		$961.78	$1,836.88	$12,537.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $480.89 / $486.53 / $507.82	Facility	52	$480.89	$486.53	$507.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.29 / $998.58 / $1,532.56	Professional		$918.29	$998.58	$1,532.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.08 / $911.34 / $1,375.57	Professional		$752.08	$911.34	$1,375.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $948.56 / $1,292.63 / $1,491.14	Facility		$948.56	$1,292.63	$1,491.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.64 / $1,292.63 / $1,846.62	Professional		$1,015.64	$1,292.63	$1,846.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.48 / $1,155.74 / $1,155.74	Facility		$971.48	$1,155.74	$1,155.74
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $924.59 / $924.59 / $924.59	Facility	52	$924.59	$924.59	$924.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.77 / $1,285.58 / $2,038.77	Professional		$957.77	$1,285.58	$2,038.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $5,592.00 / $10,966.00	Facility		$842.00	$5,592.00	$10,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.26 / $1,227.25 / $1,762.63	Professional		$888.26	$1,227.25	$1,762.63