Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.03 / $905.56 / $9,311.00	Facility		$667.03	$905.56	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.03 / $696.79 / $860.98	Professional		$667.03	$696.79	$860.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.57 / $765.32 / $1,072.30	Professional		$631.57	$765.32	$1,072.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $664.83 / $911.43 / $1,051.40	Facility		$664.83	$911.43	$1,051.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $716.12 / $911.43 / $1,302.04	Professional		$716.12	$911.43	$1,302.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.48 / $799.43 / $799.43	Facility		$762.48	$799.43	$799.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.40 / $993.56 / $1,520.92	Professional		$680.40	$993.56	$1,520.92
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.97 / $969.17 / $1,458.76	Professional		$640.97	$969.17	$1,458.76