Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.02 / $988.00 / $3,740.00	Facility		$467.02	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.02 / $699.73 / $1,142.95	Professional		$467.02	$699.73	$1,142.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.21 / $659.28 / $9,271.00	Facility		$343.21	$659.28	$9,271.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $481.42 / $656.51	Professional		$409.20	$481.42	$656.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.98 / $11,183.49 / $47,249.53	Facility		$772.98	$11,183.49	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $767.49 / $9,855.45 / $17,391.96	Professional		$767.49	$9,855.45	$17,391.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.08 / $989.08 / $989.08	Facility		$989.08	$989.08	$989.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,832.91 / $2,832.91 / $2,832.91	Professional		$2,832.91	$2,832.91	$2,832.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.78 / $851.28 / $1,660.92	Professional		$430.78	$851.28	$1,660.92