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 $1,318.77 / $1,510.35 / $1,946.19	Professional		$1,318.77	$1,510.35	$1,946.19
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 $1,284.91 / $1,585.65 / $2,336.63	Professional		$1,284.91	$1,585.65	$2,336.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,430.06 / $2,025.42 / $2,336.46	Facility		$1,430.06	$2,025.42	$2,336.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,591.40 / $2,025.42 / $2,893.46	Professional		$1,591.40	$2,025.42	$2,893.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,916.38	Facility		$1,772.98	$1,772.98	$1,916.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.52 / $2,147.87 / $3,156.46	Professional		$1,659.52	$2,147.87	$3,156.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,880.75	Professional		$32.34	$32.34	$1,880.75
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 $1,447.77 / $2,076.27 / $3,137.17	Professional		$1,447.77	$2,076.27	$3,137.17