Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,120.94 / $11,373.75	Facility		$991.00	$2,120.94	$11,373.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.81 / $1,943.35 / $2,134.21	Professional		$1,645.81	$1,943.35	$2,134.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $26,311.85 / $79,432.60	Facility		$6,559.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.43 / $1,798.46 / $2,656.60	Professional		$1,443.43	$1,798.46	$2,656.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,710.09 / $2,561.31 / $2,954.65	Facility		$1,710.09	$2,561.31	$2,954.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,012.46 / $2,469.84 / $3,659.02	Professional		$2,012.46	$2,469.84	$3,659.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,088.46 / $2,248.63 / $2,248.63	Facility		$2,088.46	$2,248.63	$2,248.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,933.58 / $2,586.14 / $3,702.80	Professional		$1,933.58	$2,586.14	$3,702.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,378.36	Professional		$32.34	$32.34	$2,378.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $19,085.00	Facility		$1,168.00	$6,186.00	$19,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.09 / $2,409.75 / $3,657.87	Professional		$1,733.09	$2,409.75	$3,657.87