Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.91 / $1,124.03 / $1,165.66	Facility		$947.91	$1,124.03	$1,165.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.67 / $1,124.03 / $1,168.28	Professional		$965.67	$1,124.03	$1,168.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,361.36 / $2,186.92 / $2,298.44	Facility		$1,361.36	$2,186.92	$2,298.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.87 / $1,137.90 / $1,181.67	Professional		$1,022.87	$1,137.90	$1,181.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,640.19 / $3,045.18 / $3,502.95	Facility		$1,640.19	$3,045.18	$3,502.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,077.57 / $2,718.91 / $3,608.42	Professional		$2,077.57	$2,718.91	$3,608.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $2,562.79	Facility		$1,540.39	$1,540.39	$2,562.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $10,431.96	Professional		$1,124.48	$1,540.39	$10,431.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.35 / $1,068.26 / $1,441.73	Professional		$727.35	$1,068.26	$1,441.73