Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,924.00 / $8,229.00	Facility		$860.00	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.73 / $1,746.76 / $2,243.61	Professional		$1,518.73	$1,746.76	$2,243.61
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 $1,533.25 / $1,837.82 / $2,627.00	Professional		$1,533.25	$1,837.82	$2,627.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,620.59 / $2,320.61 / $2,676.99	Facility		$1,620.59	$2,320.61	$2,676.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,815.67 / $2,309.86 / $3,315.16	Professional		$1,815.67	$2,309.86	$3,315.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,209.23	Facility		$2,047.39	$2,047.39	$2,209.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.00 / $2,630.57 / $3,712.95	Professional		$1,877.00	$2,630.57	$3,712.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,154.85	Professional		$32.34	$32.34	$2,154.85
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 $1,691.60 / $2,509.71 / $3,803.98	Professional		$1,691.60	$2,509.71	$3,803.98