Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,288.34 / $8,229.00	Facility		$860.00	$2,288.34	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.18 / $2,087.28 / $2,744.18	Professional		$1,814.18	$2,087.28	$2,744.18
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 $1,882.51 / $2,216.98 / $3,201.00	Professional		$1,882.51	$2,216.98	$3,201.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,936.27 / $2,774.83 / $3,200.97	Facility		$1,936.27	$2,774.83	$3,200.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,982.02 / $2,757.38 / $3,964.04	Professional		$1,982.02	$2,757.38	$3,964.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $2,447.00 / $2,702.15	Facility		$2,447.00	$2,447.00	$2,702.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.88 / $3,104.08 / $4,250.16	Professional		$2,111.88	$3,104.08	$4,250.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,576.63	Professional		$32.34	$32.34	$2,576.63
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 $2,092.09 / $3,000.77 / $4,289.46	Professional		$2,092.09	$3,000.77	$4,289.46