Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.05 / $889.05 / $924.61	Facility		$679.05	$889.05	$924.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.76 / $985.24 / $1,289.02	Professional		$793.76	$985.24	$1,289.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.89 / $1,868.10 / $1,963.37	Facility		$1,162.89	$1,868.10	$1,963.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.69 / $1,121.99 / $1,211.60	Professional		$953.69	$1,121.99	$1,211.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,401.08 / $2,634.02 / $3,549.39	Facility		$1,401.08	$2,634.02	$3,549.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,868.10 / $2,521.94 / $3,385.70	Professional		$1,868.10	$2,521.94	$3,385.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $2,406.57	Facility		$1,167.30	$1,167.30	$2,406.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $10,086.67	Professional		$852.13	$1,167.30	$10,086.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $976.27 / $1,190.58 / $1,488.22	Professional		$976.27	$1,190.58	$1,488.22
United Facility/Professional Professional Modifier Low / Median / High Price $621.32 / $998.77 / $1,436.15	Professional		$621.32	$998.77	$1,436.15