Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,190.17 / $8,229.00	Facility		$860.00	$1,190.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.68 / $1,044.79 / $1,343.01	Professional		$908.68	$1,044.79	$1,343.01
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 $876.86 / $1,044.17 / $1,482.25	Professional		$876.86	$1,044.17	$1,482.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $886.41 / $1,208.75 / $1,394.37	Facility		$886.41	$1,208.75	$1,394.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $948.46 / $1,208.75 / $1,942.63	Professional		$948.46	$1,208.75	$1,942.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.48 / $1,063.48 / $1,420.24	Facility		$1,063.48	$1,063.48	$1,420.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.73 / $1,395.62 / $2,109.37	Professional		$1,115.73	$1,395.62	$2,109.37
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.71 / $1,356.33 / $1,930.75	Professional		$916.71	$1,356.33	$1,930.75