Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.31 / $860.00 / $8,229.00	Facility		$728.31	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.31 / $831.37 / $1,007.14	Professional		$728.31	$831.37	$1,007.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.73 / $667.50 / $1,037.79	Professional		$561.73	$667.50	$1,037.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.75 / $1,015.91 / $1,161.04	Facility		$724.75	$1,015.91	$1,161.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $795.52 / $1,015.91 / $1,451.30	Professional		$795.52	$1,015.91	$1,451.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $631.95 / $904.84 / $1,728.48	Facility		$631.95	$904.84	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.17 / $851.27 / $1,606.39	Professional		$674.17	$851.27	$1,606.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $428.38	Professional		$32.34	$32.34	$428.38
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 $611.51 / $801.55 / $1,309.83	Professional		$611.51	$801.55	$1,309.83