Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $718.00 / $718.00	Facility		$718.00	$718.00	$718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $718.00 / $744.93	Professional		$718.00	$718.00	$744.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,084.38 / $1,084.38	Facility		$1,041.00	$1,084.38	$1,084.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $919.55 / $919.55	Professional		$718.00	$919.55	$919.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $1,737.95 / $1,737.95	Facility		$90.17	$1,737.95	$1,737.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $74.06 / $90.17	Professional		$66.79	$74.06	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $762.88 / $762.88	Facility		$762.88	$762.88	$762.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.88 / $762.88 / $1,139.83	Professional		$762.88	$762.88	$1,139.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,797.75 / $1,997.50 / $2,057.42	Professional		$1,797.75	$1,997.50	$2,057.42