Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.17 / $1,395.28 / $8,229.00	Facility		$560.17	$1,395.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.17 / $1,000.32 / $1,395.28	Professional		$560.17	$1,000.32	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,271.00 / $19,794.66 / $55,575.98	Facility		$9,271.00	$19,794.66	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.96 / $2,682.17 / $3,325.15	Professional		$2,071.96	$2,682.17	$3,325.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.57 / $18,238.02 / $47,249.53	Facility		$1,260.57	$18,238.02	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,251.63 / $16,072.24 / $28,362.78	Professional		$1,251.63	$16,072.24	$28,362.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.85 / $1,260.85 / $1,260.85	Facility		$1,260.85	$1,260.85	$1,260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,251.05 / $5,251.05 / $5,251.05	Professional		$5,251.05	$5,251.05	$5,251.05
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 $1,061.51 / $1,512.65 / $2,228.11	Professional		$1,061.51	$1,512.65	$2,228.11