Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $835.52 / $8,229.00	Facility		$637.00	$835.52	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.40 / $766.72 / $821.10	Professional		$693.40	$766.72	$821.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.49 / $802.78 / $1,129.26	Professional		$662.49	$802.78	$1,129.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $1,047.52 / $1,208.40	Facility		$763.20	$1,047.52	$1,208.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.71 / $1,047.52 / $1,496.46	Professional		$822.71	$1,047.52	$1,496.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.95 / $939.51 / $939.51	Facility		$843.95	$939.51	$939.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.67 / $1,061.02 / $1,736.86	Professional		$818.67	$1,061.02	$1,736.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $693.64 / $1,005.24 / $1,620.55	Professional		$693.64	$1,005.24	$1,620.55