Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.09 / $991.00 / $8,229.00	Facility		$718.09	$991.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.09 / $774.87 / $1,130.99	Professional		$718.09	$774.87	$1,130.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.11 / $820.50 / $1,112.20	Professional		$677.11	$820.50	$1,112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.06 / $980.78 / $1,131.41	Facility		$715.06	$980.78	$1,131.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.64 / $980.78 / $1,401.12	Professional		$805.64	$980.78	$1,401.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.67 / $859.52 / $859.52	Facility		$725.67	$859.52	$859.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.32 / $1,023.40 / $1,638.35	Professional		$734.32	$1,023.40	$1,638.35
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 $735.03 / $1,059.89 / $1,434.30	Professional		$735.03	$1,059.89	$1,434.30