Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.63 / $864.05 / $8,229.00	Facility		$491.63	$864.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $693.08 / $864.06	Professional		$491.63	$693.08	$864.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $327.33 / $490.96	Professional		$222.49	$327.33	$490.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $923.24 / $100,236.50	Facility		$655.05	$923.24	$100,236.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $622.39 / $891.41 / $1,273.44	Professional		$622.39	$891.41	$1,273.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.30 / $843.30 / $843.30	Facility		$843.30	$843.30	$843.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.42 / $882.42 / $3,534.51	Professional		$596.42	$882.42	$3,534.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.70 / $100.00	Professional		$45.00	$50.70	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.73 / $1,046.60 / $1,570.28	Professional		$577.73	$1,046.60	$1,570.28