Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.48 / $871.30 / $8,229.00	Facility		$713.48	$871.30	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.42 / $713.48 / $820.09	Professional		$691.42	$713.48	$820.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.31 / $853.46 / $1,166.71	Professional		$704.31	$853.46	$1,166.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.17 / $1,108.93 / $1,279.23	Facility		$817.17	$1,108.93	$1,279.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $910.90 / $1,108.93 / $1,584.18	Professional		$910.90	$1,108.93	$1,584.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.87 / $980.66 / $980.66	Facility		$910.87	$980.66	$980.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.31 / $1,080.08 / $1,775.60	Professional		$816.31	$1,080.08	$1,775.60
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 $725.42 / $1,083.52 / $1,647.00	Professional		$725.42	$1,083.52	$1,647.00