Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,478.18 / $8,229.00	Facility		$860.00	$1,478.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.74 / $1,355.53 / $1,586.81	Professional		$1,158.74	$1,355.53	$1,586.81
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 $1,023.17 / $1,281.70 / $1,693.23	Professional		$1,023.17	$1,281.70	$1,693.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,260.85 / $1,811.15 / $2,089.30	Facility		$1,260.85	$1,811.15	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,264.57 / $1,811.15 / $2,587.36	Professional		$1,264.57	$1,811.15	$2,587.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.28 / $1,585.02 / $1,585.02	Facility		$1,363.28	$1,585.02	$1,585.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.97 / $1,773.50 / $2,582.94	Professional		$1,319.97	$1,773.50	$2,582.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,681.78	Professional		$32.34	$32.34	$1,681.78
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 $1,244.50 / $1,752.85 / $2,659.45	Professional		$1,244.50	$1,752.85	$2,659.45