Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.29 / $1,125.84 / $8,229.00	Facility		$958.29	$1,125.84	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.29 / $988.71 / $1,179.43	Professional		$958.29	$988.71	$1,179.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $10,933.00	Facility		$3,104.00	$5,280.00	$10,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.04 / $1,064.33 / $1,349.50	Professional		$882.04	$1,064.33	$1,349.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.19 / $1,256.15 / $1,449.05	Facility		$915.19	$1,256.15	$1,449.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,012.32 / $1,256.15 / $1,794.50	Professional		$1,012.32	$1,256.15	$1,794.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $947.98 / $1,102.09 / $1,102.09	Facility		$947.98	$1,102.09	$1,102.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.37 / $1,300.38 / $2,101.30	Professional		$942.37	$1,300.38	$2,101.30
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.89 / $1,357.34 / $1,954.18	Professional		$904.89	$1,357.34	$1,954.18