Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,020.49 / $8,229.00	Facility		$860.00	$1,020.49	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.37 / $1,086.41 / $1,302.40	Professional		$941.37	$1,086.41	$1,302.40
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 $728.90 / $880.64 / $1,399.70	Professional		$728.90	$880.64	$1,399.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.42 / $1,556.42 / $1,795.44	Facility		$1,042.42	$1,556.42	$1,795.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,086.72 / $1,556.42 / $2,223.46	Professional		$1,086.72	$1,556.42	$2,223.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,261.21 / $1,366.34 / $1,366.34	Facility		$1,261.21	$1,366.34	$1,366.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.64 / $1,336.88 / $1,929.91	Professional		$1,036.64	$1,336.88	$1,929.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,445.25	Professional		$32.34	$32.34	$1,445.25
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.72 / $1,381.35 / $2,390.91	Professional		$966.72	$1,381.35	$2,390.91