Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $8,511.38	Facility		$741.31	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,000.00	Professional		$691.83	$794.33	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,715.19 / $12,882.50	Facility		$8,128.31	$10,715.19	$12,882.50
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 $707.95 / $1,000.00 / $1,174.90	Facility		$707.95	$1,000.00	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,202.26	Professional		$707.95	$1,023.29	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,174.90 / $1,348.96	Facility		$34.67	$1,174.90	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $4,570.88	Professional		$812.83	$1,348.96	$4,570.88
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,513.56	Professional		$691.83	$1,023.29	$1,513.56