Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,648.22 / $8,229.00	Facility		$860.00	$1,648.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.47 / $1,648.22 / $2,154.29	Professional		$1,148.47	$1,648.22	$2,154.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $19,794.66 / $55,575.98	Facility		$6,559.00	$19,794.66	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.59 / $1,436.00 / $1,958.27	Professional		$1,220.59	$1,436.00	$1,958.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,776.21 / $40,166.37 / $62,021.61	Facility		$2,776.21	$40,166.37	$62,021.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,756.52 / $35,396.62 / $62,021.61	Professional		$2,756.52	$35,396.62	$62,021.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.65 / $2,432.65 / $2,432.65	Facility		$2,432.65	$2,432.65	$2,432.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,127.93 / $10,127.93 / $10,127.93	Professional		$10,127.93	$10,127.93	$10,127.93
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.79 / $2,328.03 / $4,075.27	Professional		$1,436.79	$2,328.03	$4,075.27