Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,257.19 / $8,229.00	Facility		$787.00	$1,257.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.54 / $1,007.93 / $1,257.19	Professional		$931.54	$1,007.93	$1,257.19
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 $720.72 / $873.34 / $1,376.01	Professional		$720.72	$873.34	$1,376.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $959.58 / $1,317.06 / $1,519.34	Facility		$959.58	$1,317.06	$1,519.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $919.59 / $1,317.06 / $1,881.52	Professional		$919.59	$1,317.06	$1,881.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.61 / $1,158.61 / $1,158.61	Facility		$1,158.61	$1,158.61	$1,158.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.26 / $1,251.65 / $1,968.62	Professional		$929.26	$1,251.65	$1,968.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,034.83	Professional		$32.34	$32.34	$1,034.83
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 $945.19 / $1,263.41 / $1,950.72	Professional		$945.19	$1,263.41	$1,950.72