Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.93 / $1,042.96 / $8,229.00	Facility		$712.93	$1,042.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.96 / $1,190.09 / $1,537.24	Professional		$1,042.96	$1,190.09	$1,537.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.37 / $902.11 / $1,473.34	Professional		$629.37	$902.11	$1,473.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,016.26 / $1,386.21 / $1,599.10	Facility		$1,016.26	$1,386.21	$1,599.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.13 / $1,386.21 / $2,227.84	Professional		$1,065.13	$1,386.21	$2,227.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.75 / $1,220.38 / $1,220.38	Facility		$850.75	$1,220.38	$1,220.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.90 / $1,366.01 / $2,365.29	Professional		$1,027.90	$1,366.01	$2,365.29
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.08 / $1,530.83 / $2,148.54	Professional		$870.08	$1,530.83	$2,148.54