Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,084.10 / $8,229.00	Facility		$637.00	$1,084.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.87 / $1,084.10 / $1,308.88	Professional		$899.87	$1,084.10	$1,308.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $861.44 / $1,350.05	Professional		$711.98	$861.44	$1,350.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $943.65 / $1,322.59 / $1,511.54	Facility		$943.65	$1,322.59	$1,511.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $944.71 / $1,322.59 / $1,889.42	Professional		$944.71	$1,322.59	$1,889.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.81 / $1,179.98 / $1,728.48	Facility		$780.81	$1,179.98	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.35 / $1,080.36 / $2,087.78	Professional		$868.35	$1,080.36	$2,087.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $529.57	Professional		$32.34	$32.34	$529.57
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $815.03 / $1,018.12 / $1,691.34	Professional		$815.03	$1,018.12	$1,691.34