Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,590.00 / $7,171.00 / $11,581.00	Facility		$2,590.00	$7,171.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.35 / $1,085.53 / $1,205.68	Professional		$711.35	$1,085.53	$1,205.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.33 / $1,344.43 / $1,984.24	Professional		$1,020.33	$1,344.43	$1,984.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,165.49 / $17,403.21 / $35,597.48	Facility		$1,165.49	$17,403.21	$35,597.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,165.49 / $18,154.71 / $32,037.74	Professional		$1,165.49	$18,154.71	$32,037.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.52 / $1,470.89 / $2,224.82	Professional		$1,099.52	$1,470.89	$2,224.82