Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,792.41 / $8,229.00	Facility		$860.00	$1,792.41	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.20 / $1,535.78 / $1,764.47	Professional		$1,477.20	$1,535.78	$1,764.47
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 $1,480.02 / $1,810.66 / $2,455.29	Professional		$1,480.02	$1,810.66	$2,455.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,672.46 / $2,281.23 / $2,631.58	Facility		$1,672.46	$2,281.23	$2,631.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,592.80 / $2,281.23 / $3,666.29	Professional		$1,592.80	$2,281.23	$3,666.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,842.75 / $1,995.13 / $1,995.13	Facility		$1,842.75	$1,995.13	$1,995.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.51 / $2,436.11 / $3,778.65	Professional		$1,728.51	$2,436.11	$3,778.65
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.63 / $2,308.17 / $3,297.77	Professional		$1,528.63	$2,308.17	$3,297.77