Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.80 / $897.64 / $10,152.00	Facility		$702.80	$897.64	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.42 / $721.03 / $897.64	Professional		$632.42	$721.03	$897.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.13 / $611.91 / $985.27	Professional		$520.13	$611.91	$985.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.18 / $937.71 / $1,081.71	Facility		$683.18	$937.71	$1,081.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $737.11 / $937.71 / $1,339.58	Professional		$737.11	$937.71	$1,339.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.74 / $834.74 / $834.74	Facility		$834.74	$834.74	$834.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.03 / $923.57 / $1,395.93	Professional		$652.03	$923.57	$1,395.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $736.77	Professional		$32.34	$32.34	$736.77
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.93 / $914.11 / $1,379.88	Professional		$667.93	$914.11	$1,379.88