Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $890.27 / $8,229.00	Facility		$787.00	$890.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.84 / $890.27 / $1,094.63	Professional		$818.84	$890.27	$1,094.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,800.00	Facility		$2,088.00	$3,889.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.21 / $746.82 / $1,156.84	Professional		$624.21	$746.82	$1,156.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.60 / $1,092.52 / $1,248.58	Facility		$779.60	$1,092.52	$1,248.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $858.41 / $1,092.52 / $1,560.74	Professional		$858.41	$1,092.52	$1,560.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.66 / $973.81 / $2,280.98	Facility		$726.66	$973.81	$2,280.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.27 / $979.20 / $1,755.02	Professional		$725.27	$979.20	$1,755.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.32	Professional		$32.34	$32.34	$488.32
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 $681.88 / $883.30 / $1,458.39	Professional		$681.88	$883.30	$1,458.39