Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,314.85 / $8,229.00	Facility		$860.00	$1,314.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.78 / $1,028.14 / $1,314.85	Professional		$883.78	$1,028.14	$1,314.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.07 / $1,032.48 / $1,537.20	Professional		$828.07	$1,032.48	$1,537.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.91 / $1,370.81 / $1,581.33	Facility		$950.91	$1,370.81	$1,581.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.07 / $1,370.81 / $1,958.30	Professional		$1,077.07	$1,370.81	$1,958.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,294.70	Facility		$1,200.39	$1,200.39	$1,294.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.08 / $1,409.26 / $2,008.81	Professional		$1,000.08	$1,409.26	$2,008.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,272.90	Professional		$32.34	$32.34	$1,272.90
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 $939.67 / $1,342.38 / $1,996.89	Professional		$939.67	$1,342.38	$1,996.89