Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $13,803.84	Facility		$1,202.26	$3,090.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,513.56	Professional		$912.01	$1,047.13	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $12,302.69	Facility		$3,388.44	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,258.93	Professional		$776.25	$912.01	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Facility		$912.01	$1,148.15	$1,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,513.56	Professional		$831.76	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,090.30	Facility		$1,122.02	$1,698.24	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $5,623.41	Professional		$954.99	$1,348.96	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $10,000.00	Facility		$851.14	$2,511.89	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,737.80	Professional		$851.14	$1,174.90	$1,737.80