Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.59 / $847.25 / $8,229.00	Facility		$354.59	$847.25	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.59 / $818.86 / $1,275.05	Professional		$354.59	$818.86	$1,275.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.75 / $763.36 / $3,177.63	Professional		$335.75	$763.36	$3,177.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.48 / $471.48 / $504.21	Facility		$471.48	$471.48	$504.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.90 / $1,078.32 / $1,733.02	Professional		$752.90	$1,078.32	$1,733.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $619.66 / $619.66	Facility		$619.66	$619.66	$619.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $876.56 / $4,071.16	Professional		$391.46	$876.56	$4,071.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,001.30	Professional		$32.34	$32.34	$1,001.30
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.88 / $1,784.44 / $4,195.97	Professional		$880.88	$1,784.44	$4,195.97