Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,110.29 / $8,229.00	Facility		$860.00	$1,110.29	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.36 / $986.11 / $1,168.50	Professional		$941.36	$986.11	$1,168.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.30 / $1,018.25 / $1,367.50	Professional		$840.30	$1,018.25	$1,367.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.66 / $1,225.69 / $1,413.92	Facility		$893.66	$1,225.69	$1,413.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $989.29 / $1,225.69 / $1,969.85	Professional		$989.29	$1,225.69	$1,969.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.87 / $1,074.50 / $1,074.50	Facility		$934.87	$1,074.50	$1,074.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.71 / $1,320.71 / $2,055.76	Professional		$928.71	$1,320.71	$2,055.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $1,289.46 / $1,875.10	Professional		$913.65	$1,289.46	$1,875.10