Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,703.27 / $8,229.00	Facility		$860.00	$1,703.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.85 / $1,546.34 / $2,063.09	Professional		$1,392.85	$1,546.34	$2,063.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.90 / $1,474.00 / $2,163.98	Professional		$1,252.90	$1,474.00	$2,163.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,463.69 / $2,073.19 / $2,391.59	Facility		$1,463.69	$2,073.19	$2,391.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,480.86 / $2,073.19 / $2,961.72	Professional		$1,480.86	$2,073.19	$2,961.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,483.32 / $1,815.11 / $1,815.11	Facility		$1,483.32	$1,815.11	$1,815.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.59 / $2,127.67 / $3,257.42	Professional		$1,512.59	$2,127.67	$3,257.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,925.12	Professional		$32.34	$32.34	$1,925.12
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 $1,442.09 / $2,007.00 / $3,249.88	Professional		$1,442.09	$2,007.00	$3,249.88