Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,240.00 / $5,320.00	Facility		$787.00	$1,240.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.68 / $1,034.21 / $1,257.69	Professional		$892.68	$1,034.21	$1,257.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.68 / $1,098.11 / $1,527.20	Professional		$884.68	$1,098.11	$1,527.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.25 / $1,447.50 / $1,669.80	Facility		$1,001.25	$1,447.50	$1,669.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,033.93 / $1,447.50 / $2,067.86	Professional		$1,033.93	$1,447.50	$2,067.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,268.11 / $1,268.11 / $1,511.79	Facility		$1,268.11	$1,268.11	$1,511.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.79 / $1,511.79 / $2,164.60	Professional		$1,148.79	$1,511.79	$2,164.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,344.11	Professional		$32.34	$32.34	$1,344.11
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.69 / $1,430.84 / $2,012.75	Professional		$1,052.69	$1,430.84	$2,012.75