Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.54 / $969.23 / $8,229.00	Facility		$796.54	$969.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.54 / $906.13 / $1,016.71	Professional		$796.54	$906.13	$1,016.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.20 / $851.23 / $1,246.14	Professional		$685.20	$851.23	$1,246.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $961.90 / $1,298.70 / $1,498.13	Facility		$961.90	$1,298.70	$1,498.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $997.56 / $1,298.70 / $1,855.28	Professional		$997.56	$1,298.70	$1,855.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.66 / $1,139.66 / $1,197.85	Facility		$1,139.66	$1,139.66	$1,197.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.72 / $1,193.49 / $1,775.61	Professional		$949.72	$1,193.49	$1,775.61
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 $876.97 / $1,167.57 / $1,891.43	Professional		$876.97	$1,167.57	$1,891.43