Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $10,471.29	Facility		$851.14	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,412.54	Professional		$851.14	$1,000.00	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $12,022.64	Facility		$2,818.38	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,202.26	Professional		$630.96	$758.58	$1,202.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,348.96	Facility		$831.76	$1,122.02	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,380.38	Professional		$758.58	$1,148.15	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,511.89	Facility		$977.24	$1,513.56	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $4,570.88	Professional		$870.96	$1,380.38	$4,570.88
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 $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,621.81	Professional		$741.31	$1,071.52	$1,621.81