Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,285.32 / $8,229.00	Facility		$860.00	$1,285.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.97 / $1,182.44 / $1,374.82	Professional		$792.97	$1,182.44	$1,374.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $808.34 / $1,046.40 / $1,574.80	Professional		$808.34	$1,046.40	$1,574.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.75 / $1,569.74 / $1,810.80	Facility		$1,091.75	$1,569.74	$1,810.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.01 / $1,569.74 / $2,242.48	Professional		$1,096.01	$1,569.74	$2,242.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.09 / $1,379.44 / $1,379.44	Facility		$1,294.09	$1,379.44	$1,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.19 / $1,436.50 / $2,105.96	Professional		$1,144.19	$1,436.50	$2,105.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,457.61	Professional		$32.34	$32.34	$1,457.61
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.01 / $1,470.20 / $2,230.61	Professional		$990.01	$1,470.20	$2,230.61