Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,296.53 / $8,229.00	Facility		$896.00	$1,296.53	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.88 / $1,176.76 / $1,296.53	Professional		$1,027.88	$1,176.76	$1,296.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.79 / $1,215.08 / $1,673.48	Professional		$1,006.79	$1,215.08	$1,673.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,114.65 / $1,578.65 / $1,821.09	Facility		$1,114.65	$1,578.65	$1,821.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,233.58 / $1,578.65 / $2,255.21	Professional		$1,233.58	$1,578.65	$2,255.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,265.22 / $1,381.30 / $1,381.30	Facility		$1,265.22	$1,381.30	$1,381.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.83 / $1,705.29 / $2,448.98	Professional		$1,241.83	$1,705.29	$2,448.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,465.89	Professional		$32.34	$32.34	$1,465.89
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 $1,109.43 / $1,581.55 / $2,379.98	Professional		$1,109.43	$1,581.55	$2,379.98