Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $860.00 / $8,229.00	Facility		$384.44	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $465.42 / $588.54	Professional		$384.44	$465.42	$588.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.90 / $1,569.30 / $2,224.98	Professional		$1,333.90	$1,569.30	$2,224.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.05 / $586.83 / $112,386.40	Facility		$324.05	$586.83	$112,386.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.36 / $508.70 / $726.72	Professional		$363.36	$508.70	$726.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.18 / $476.18 / $476.18	Facility		$476.18	$476.18	$476.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.82 / $551.04 / $1,992.54	Professional		$396.82	$551.04	$1,992.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
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 $316.66 / $421.64 / $682.54	Professional		$316.66	$421.64	$682.54