Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $942.71 / $9,311.00	Facility		$760.00	$942.71	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $793.82 / $942.71	Professional		$760.00	$793.82	$942.71
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 $662.76 / $803.11 / $1,180.70	Professional		$662.76	$803.11	$1,180.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.63 / $1,038.63 / $1,110.76	Facility		$1,038.63	$1,038.63	$1,110.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $839.45 / $1,026.90 / $1,669.23	Professional		$839.45	$1,026.90	$1,669.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.77 / $909.85 / $909.85	Facility		$793.77	$909.85	$909.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.48 / $1,096.85 / $1,676.65	Professional		$774.48	$1,096.85	$1,676.65
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 $700.79 / $1,017.03 / $1,566.48	Professional		$700.79	$1,017.03	$1,566.48