Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $899.50 / $8,229.00	Facility		$860.00	$899.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.31 / $1,023.11 / $1,336.29	Professional		$895.31	$1,023.11	$1,336.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.60 / $922.89 / $1,222.72	Professional		$761.60	$922.89	$1,222.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $875.18 / $1,192.30 / $1,375.39	Facility		$875.18	$1,192.30	$1,375.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $936.44 / $1,192.30 / $1,703.28	Professional		$936.44	$1,192.30	$1,703.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.91 / $1,047.91 / $1,047.91	Facility		$1,047.91	$1,047.91	$1,047.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.65 / $1,318.83 / $1,935.00	Professional		$1,060.65	$1,318.83	$1,935.00
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.58 / $1,413.81 / $1,910.52	Professional		$913.58	$1,413.81	$1,910.52