Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.07 / $875.98 / $911.01	Facility		$669.07	$875.98	$911.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.10 / $951.24 / $1,065.38	Professional		$782.10	$951.24	$1,065.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.80 / $1,840.64 / $1,934.51	Facility		$1,145.80	$1,840.64	$1,934.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.91 / $1,105.51 / $1,124.51	Professional		$860.91	$1,105.51	$1,124.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,380.48 / $2,595.30 / $3,198.05	Facility		$1,380.48	$2,595.30	$3,198.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,748.61 / $2,300.80 / $3,037.06	Professional		$1,748.61	$2,300.80	$3,037.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $2,432.32	Facility		$1,408.48	$1,408.48	$2,432.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $10,194.59	Professional		$1,028.19	$1,408.48	$10,194.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $961.92 / $1,173.08 / $1,466.35	Professional		$961.92	$1,173.08	$1,466.35
United Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $918.28 / $1,415.04	Professional		$612.17	$918.28	$1,415.04