Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.62 / $879.01 / $879.01	Facility		$847.62	$879.01	$879.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.64 / $817.14 / $879.01	Professional		$624.64	$817.14	$879.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.58 / $1,649.12 / $1,733.23	Facility		$1,026.58	$1,649.12	$1,733.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.80 / $739.80 / $771.34	Professional		$739.80	$739.80	$771.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.83 / $2,021.33 / $2,497.46	Facility		$1,236.83	$2,021.33	$2,497.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.46 / $1,978.94 / $2,721.05	Professional		$1,496.46	$1,978.94	$2,721.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $1,014.49 / $1,932.56	Facility		$1,014.49	$1,014.49	$1,932.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.58 / $1,014.49 / $6,865.32	Professional		$740.58	$1,014.49	$6,865.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $903.57 / $1,101.92 / $1,377.40	Professional		$903.57	$1,101.92	$1,377.40
United Facility/Professional Professional Modifier Low / Median / High Price $485.61 / $742.87 / $1,087.19	Professional		$485.61	$742.87	$1,087.19