Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.54 / $1,084.83 / $13,304.00	Facility		$794.54	$1,084.83	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.54 / $819.80 / $986.96	Professional		$794.54	$819.80	$986.96
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 $692.04 / $838.60 / $1,220.90	Professional		$692.04	$838.60	$1,220.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $757.54 / $1,038.00 / $1,197.42	Facility		$757.54	$1,038.00	$1,197.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $810.57 / $1,038.00 / $1,482.86	Professional		$810.57	$1,038.00	$1,482.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.03 / $913.52 / $913.52	Facility		$831.03	$913.52	$913.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.49 / $1,097.40 / $1,692.19	Professional		$776.49	$1,097.40	$1,692.19
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.97 / $1,035.98 / $1,541.36	Professional		$707.97	$1,035.98	$1,541.36