Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.99 / $1,049.66 / $1,091.64	Facility		$645.99	$1,049.66	$1,091.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.81 / $993.82 / $1,091.64	Professional		$920.81	$993.82	$1,091.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,372.97 / $2,205.58 / $2,318.06	Facility		$1,372.97	$2,205.58	$2,318.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.72 / $1,067.44 / $1,085.78	Professional		$1,019.72	$1,067.44	$1,085.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,654.19 / $2,849.48 / $3,256.54	Facility		$1,654.19	$2,849.48	$3,256.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,095.30 / $2,646.70 / $3,639.21	Professional		$2,095.30	$2,646.70	$3,639.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $2,584.67	Facility		$1,316.65	$1,316.65	$2,584.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,316.65 / $9,680.78	Professional		$961.15	$1,316.65	$9,680.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,152.65 / $1,405.68 / $1,757.10	Professional		$1,152.65	$1,405.68	$1,757.10
United Facility/Professional Professional Modifier Low / Median / High Price $733.56 / $1,100.33 / $1,764.46	Professional		$733.56	$1,100.33	$1,764.46