Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.04 / $651.90 / $3,536.16	Facility		$628.04	$651.90	$3,536.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $667.80 / $825.00	Professional		$628.04	$667.80	$825.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $715.50 / $835.55	Facility		$13.28	$715.50	$835.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.28 / $645.00	Professional		$11.29	$13.28	$645.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,113.00 / $1,311.75	Facility		$795.00	$1,113.00	$1,311.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $874.50 / $1,033.50 / $1,590.00	Professional		$874.50	$1,033.50	$1,590.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.75 / $618.59 / $954.00	Facility		$516.75	$618.59	$954.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $894.22 / $3,831.90	Professional		$363.74	$894.22	$3,831.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $437.25 / $437.25 / $437.25	Professional		$437.25	$437.25	$437.25
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $874.50	Professional		$333.90	$477.00	$874.50