Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.30 / $804.64 / $8,229.00	Facility		$692.30	$804.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $760.77 / $828.67	Professional		$690.00	$760.77	$828.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.90 / $9,565.00 / $21,322.13	Facility		$7,062.90	$9,565.00	$21,322.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.77 / $800.70 / $1,091.05	Professional		$660.77	$800.70	$1,091.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $746.12 / $1,024.08 / $1,181.35	Facility		$746.12	$1,024.08	$1,181.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.44 / $1,024.08 / $1,462.98	Professional		$819.44	$1,024.08	$1,462.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.13 / $904.73 / $904.73	Facility		$810.13	$904.73	$904.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.95 / $1,016.03 / $1,671.76	Professional		$788.95	$1,016.03	$1,671.76
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.78 / $1,107.27 / $1,562.61	Professional		$709.78	$1,107.27	$1,562.61