Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.10 / $636.10 / $636.10	Facility		$636.10	$636.10	$636.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.15 / $1,016.15 / $1,016.15	Professional		$1,016.15	$1,016.15	$1,016.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.97 / $693.39 / $989.86	Professional		$580.97	$693.39	$989.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.90 / $809.58 / $933.91	Facility		$593.90	$809.58	$933.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.26 / $809.58 / $1,156.54	Professional		$565.26	$809.58	$1,156.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.37 / $920.37 / $1,013.70	Professional		$920.37	$920.37	$1,013.70
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 $3,992.70 / $3,992.70 / $3,992.70	Facility		$3,992.70	$3,992.70	$3,992.70
United Facility/Professional Professional Modifier Low / Median / High Price $569.70 / $945.45 / $1,254.61	Professional		$569.70	$945.45	$1,254.61