Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,818.38 / $8,511.38	Facility		$707.95	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,148.15	Professional		$707.95	$794.33	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,715.19 / $11,220.18	Facility		$7,244.36	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,096.48	Professional		$676.08	$794.33	$1,096.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,122.02	Facility		$676.08	$933.25	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,148.15	Professional		$758.58	$954.99	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,096.48 / $1,258.93	Facility		$34.67	$1,096.48	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $4,677.35	Professional		$758.58	$1,288.25	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,412.54	Professional		$645.65	$977.24	$1,412.54