Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.32 / $834.03 / $2,224.91	Facility		$794.32	$834.03	$2,224.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.32 / $834.03 / $1,104.58	Professional		$794.32	$834.03	$1,104.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,254.24 / $1,363.30 / $1,363.30	Facility		$1,254.24	$1,363.30	$1,363.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.64 / $1,090.64 / $1,156.08	Professional		$1,090.64	$1,090.64	$1,156.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.68 / $914.02 / $1,218.69	Facility		$761.68	$914.02	$1,218.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $761.68 / $761.68 / $1,104.44	Professional		$761.68	$761.68	$1,104.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,001.02 / $1,001.02 / $1,001.02	Facility		$1,001.02	$1,001.02	$1,001.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.13 / $1,462.44 / $4,186.17	Professional		$1,006.13	$1,462.44	$4,186.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,237.27 / $1,308.77 / $1,348.03	Professional		$1,237.27	$1,308.77	$1,348.03