Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,499.26 / $8,229.00	Facility		$860.00	$1,499.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.60 / $1,386.91 / $1,499.26	Professional		$1,188.60	$1,386.91	$1,499.26
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 $1,098.44 / $1,384.03 / $1,857.64	Professional		$1,098.44	$1,384.03	$1,857.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,287.88 / $1,824.19 / $2,104.33	Facility		$1,287.88	$1,824.19	$2,104.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,425.50 / $1,824.19 / $2,605.98	Professional		$1,425.50	$1,824.19	$2,605.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,447.46 / $1,596.46 / $1,596.46	Facility		$1,447.46	$1,596.46	$1,596.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.25 / $1,877.72 / $2,815.38	Professional		$1,364.25	$1,877.72	$2,815.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,693.89	Professional		$32.34	$32.34	$1,693.89
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 $1,294.85 / $1,779.47 / $2,735.65	Professional		$1,294.85	$1,779.47	$2,735.65