Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,049.22 / $8,229.00	Facility		$860.00	$1,049.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.57 / $904.92 / $1,078.85	Professional		$876.57	$904.92	$1,078.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.08 / $944.07 / $1,285.50	Professional		$779.08	$944.07	$1,285.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $838.06 / $1,150.27 / $1,326.92	Facility		$838.06	$1,150.27	$1,326.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $897.46 / $1,150.27 / $1,848.65	Professional		$897.46	$1,150.27	$1,848.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.45 / $1,008.34 / $1,008.34	Facility		$883.45	$1,008.34	$1,008.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.19 / $1,248.99 / $1,907.74	Professional		$858.19	$1,248.99	$1,907.74
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 $797.02 / $1,195.53 / $1,736.24	Professional		$797.02	$1,195.53	$1,736.24