Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.95 / $972.71 / $1,011.61	Facility		$742.95	$972.71	$1,011.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.46 / $1,011.61 / $1,179.36	Professional		$868.46	$1,011.61	$1,179.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.32 / $2,043.89 / $2,148.13	Facility		$1,272.32	$2,043.89	$2,148.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.97 / $1,227.57 / $1,242.91	Professional		$955.97	$1,227.57	$1,242.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,532.92 / $2,881.88 / $3,689.70	Facility		$1,532.92	$2,881.88	$3,689.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,941.70 / $2,554.86 / $3,372.42	Professional		$1,941.70	$2,554.86	$3,372.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,513.51	Facility		$1,367.82	$1,367.82	$2,513.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $10,534.88	Professional		$998.51	$1,367.82	$10,534.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,068.14 / $1,302.60 / $1,628.26	Professional		$1,068.14	$1,302.60	$1,628.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.44 / $1,347.44 / $1,571.29	Facility		$1,347.44	$1,347.44	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $679.78 / $1,037.25 / $1,571.29	Professional		$679.78	$1,037.25	$1,571.29