Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.22 / $1,019.79 / $8,229.00	Facility		$957.22	$1,019.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.95 / $991.79 / $1,222.58	Professional		$903.95	$991.79	$1,222.58
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 $756.40 / $916.59 / $1,372.58	Professional		$756.40	$916.59	$1,372.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $934.27 / $1,282.33 / $1,479.26	Facility		$934.27	$1,282.33	$1,479.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,010.17 / $1,282.33 / $1,831.90	Professional		$1,010.17	$1,282.33	$1,831.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.03 / $1,129.03 / $1,129.03	Facility		$1,129.03	$1,129.03	$1,129.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.86 / $1,197.38 / $1,881.57	Professional		$940.86	$1,197.38	$1,881.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,007.55	Professional		$32.34	$32.34	$1,007.55
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 $875.87 / $1,160.73 / $1,923.50	Professional		$875.87	$1,160.73	$1,923.50