Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,304.60 / $8,229.00	Facility		$860.00	$1,304.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.51 / $1,089.80 / $1,417.71	Professional		$950.51	$1,089.80	$1,417.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.70 / $1,036.91 / $1,525.36	Professional		$855.70	$1,036.91	$1,525.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $929.29 / $1,266.02 / $1,460.45	Facility		$929.29	$1,266.02	$1,460.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.30 / $1,266.02 / $1,808.60	Professional		$904.30	$1,266.02	$1,808.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.57 / $1,112.57 / $1,577.31	Facility		$1,112.57	$1,112.57	$1,577.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.76 / $1,407.14 / $2,070.56	Professional		$1,124.76	$1,407.14	$2,070.56
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 $978.84 / $1,438.32 / $2,039.93	Professional		$978.84	$1,438.32	$2,039.93