Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,020.56 / $8,229.00	Facility		$860.00	$1,020.56	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.56 / $1,069.73 / $1,159.73	Professional		$1,020.56	$1,069.73	$1,159.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,099.00 / $28,168.29	Facility		$6,153.00	$10,099.00	$28,168.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.27 / $1,017.99 / $1,615.08	Professional		$860.27	$1,017.99	$1,615.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.69 / $1,577.95 / $1,820.28	Facility		$1,160.69	$1,577.95	$1,820.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.75 / $1,577.95 / $2,536.00	Professional		$1,101.75	$1,577.95	$2,536.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,384.94 / $1,384.94 / $1,384.94	Facility		$1,384.94	$1,384.94	$1,384.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.11 / $1,522.86 / $2,313.73	Professional		$1,154.11	$1,522.86	$2,313.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.25 / $1,371.53 / $2,159.16	Professional		$935.25	$1,371.53	$2,159.16