Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.15 / $1,194.00 / $13,304.00	Facility		$802.15	$1,194.00	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $881.49 / $1,004.74	Professional		$799.44	$881.49	$1,004.74
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 $771.15 / $934.46 / $1,270.67	Professional		$771.15	$934.46	$1,270.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $868.66 / $1,187.55 / $1,369.92	Facility		$868.66	$1,187.55	$1,369.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.16 / $1,187.55 / $1,696.50	Professional		$829.16	$1,187.55	$1,696.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.20 / $1,049.64 / $1,049.64	Facility		$933.20	$1,049.64	$1,049.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.46 / $1,176.16 / $1,949.67	Professional		$918.46	$1,176.16	$1,949.67
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 $819.40 / $1,261.28 / $1,791.23	Professional		$819.40	$1,261.28	$1,791.23