Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,747.00 / $8,229.00	Facility		$860.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,721.30 / $3,154.51 / $4,023.34	Professional		$2,721.30	$3,154.51	$4,023.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $26,311.85 / $79,432.60	Facility		$8,584.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,638.80 / $3,151.20 / $4,686.14	Professional		$2,638.80	$3,151.20	$4,686.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,900.86 / $4,205.78 / $4,851.67	Facility		$2,900.86	$4,205.78	$4,851.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,300.80 / $4,205.78 / $6,008.26	Professional		$3,300.80	$4,205.78	$6,008.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,961.70	Facility		$3,686.20	$3,686.20	$3,961.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,071.83 / $4,394.60 / $6,395.04	Professional		$3,071.83	$4,394.60	$6,395.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,905.37	Professional		$32.34	$32.34	$3,905.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $16,855.00	Facility		$1,168.00	$6,186.00	$16,855.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,893.36 / $4,267.79 / $6,209.71	Professional		$2,893.36	$4,267.79	$6,209.71