Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.53 / $824.52 / $855.06	Facility		$589.53	$824.52	$855.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.36 / $855.06 / $977.48	Professional		$708.36	$855.06	$977.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $998.61 / $1,604.19 / $1,686.00	Facility		$998.61	$1,604.19	$1,686.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.32 / $939.40 / $975.53	Professional		$750.32	$939.40	$975.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.14 / $2,261.91 / $2,911.82	Facility		$1,203.14	$2,261.91	$2,911.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,546.91 / $2,092.87 / $2,646.91	Professional		$1,546.91	$2,092.87	$2,646.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $2,088.98	Facility		$1,025.33	$1,025.33	$2,088.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,025.33 / $8,755.58	Professional		$748.49	$1,025.33	$8,755.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $791.04 / $964.69 / $1,205.86	Professional		$791.04	$964.69	$1,205.86
United Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $800.32 / $1,283.34	Professional		$533.54	$800.32	$1,283.34