Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.40 / $957.80 / $1,210.17	Facility		$784.40	$957.80	$1,210.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.47 / $808.72 / $1,039.42	Professional		$758.47	$808.72	$1,039.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.79 / $8,584.00 / $13,733.40	Facility		$4,149.79	$8,584.00	$13,733.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.60 / $1,116.00 / $1,432.14	Professional		$948.60	$1,116.00	$1,432.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.44 / $1,219.02 / $1,406.23	Facility		$897.44	$1,219.02	$1,406.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.73 / $1,219.02 / $1,741.46	Professional		$870.73	$1,219.02	$1,741.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.75 / $1,076.75 / $1,192.55	Facility		$1,076.75	$1,076.75	$1,192.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,294.81 / $2,054.81	Professional		$900.00	$1,294.81	$2,054.81
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 $870.72 / $1,154.61 / $1,586.96	Professional		$870.72	$1,154.61	$1,586.96