Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,003.56 / $5,320.00	Facility		$787.00	$1,003.56	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.63 / $1,003.56 / $1,234.98	Professional		$922.63	$1,003.56	$1,234.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.93 / $849.78 / $1,302.29	Professional		$711.93	$849.78	$1,302.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $877.50 / $1,231.06 / $1,406.93	Facility		$877.50	$1,231.06	$1,406.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $1,231.06 / $1,758.66	Professional		$879.33	$1,231.06	$1,758.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.16 / $1,093.85 / $1,322.53	Facility		$836.16	$1,093.85	$1,322.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.84 / $1,107.91 / $1,985.71	Professional		$815.84	$1,107.91	$1,985.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $580.12	Professional		$32.34	$32.34	$580.12
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 $775.89 / $935.64 / $1,646.73	Professional		$775.89	$935.64	$1,646.73