Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,818.38 / $8,511.38	Facility		$691.83	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,071.52	Professional		$691.83	$794.33	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $15,135.61	Facility		$8,912.51	$10,715.19	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,000.00	Professional		$616.60	$724.44	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,096.48	Facility		$645.65	$912.01	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,122.02	Professional		$660.69	$933.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,230.27 / $1,230.27	Facility		$34.67	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,981.07	Professional		$724.44	$1,148.15	$3,981.07
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 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38