Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,370.83 / $7,702.00	Facility		$991.00	$2,370.83	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,507.49 / $2,253.00 / $2,507.19	Professional		$1,507.49	$2,253.00	$2,507.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $26,311.85 / $79,432.60	Facility		$8,584.00	$26,311.85	$79,432.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.33 / $1,952.40 / $2,808.51	Professional		$1,494.33	$1,952.40	$2,808.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,010.49 / $2,909.66 / $3,480.82	Facility		$2,010.49	$2,909.66	$3,480.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,370.83 / $3,017.42 / $3,575.42	Professional		$2,370.83	$3,017.42	$3,575.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,651.02 / $2,651.02 / $2,651.02	Facility		$2,651.02	$2,651.02	$2,651.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,955.00 / $2,796.14 / $4,242.04	Professional		$1,955.00	$2,796.14	$4,242.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,801.89	Professional		$32.34	$32.34	$2,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,893.36 / $2,617.63 / $4,330.02	Professional		$1,893.36	$2,617.63	$4,330.02