Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.67 / $2,103.00 / $9,030.37	Facility		$641.67	$2,103.00	$9,030.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.12 / $2,843.00 / $8,990.20	Professional		$663.12	$2,843.00	$8,990.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.97 / $4,316.93 / $7,166.45	Professional		$542.97	$4,316.93	$7,166.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $615.71 / $845.08 / $974.87	Facility		$615.71	$845.08	$974.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.79 / $875.26 / $8,180.70	Professional		$656.79	$875.26	$8,180.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.68 / $1,110.68 / $1,110.68	Facility		$1,110.68	$1,110.68	$1,110.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.95 / $5,661.72 / $12,135.19	Professional		$808.95	$5,661.72	$12,135.19
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 $1,168.00 / $8,794.29 / $22,932.00	Facility		$1,168.00	$8,794.29	$22,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,738.51 / $9,160.45 / $12,787.84	Professional		$6,738.51	$9,160.45	$12,787.84