Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,513.56 / $5,495.41	Facility		$851.14	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,137.96	Professional		$1,023.29	$1,202.26	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,513.56	Professional		$891.25	$1,071.52	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,949.84	Facility		$1,047.13	$1,513.56	$1,949.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $2,089.30	Facility		$1,288.25	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $6,309.57	Professional		$1,174.90	$1,949.84	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,344.23	Professional		$1,000.00	$1,318.26	$2,344.23