Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.15 / $1,394.68 / $8,229.00	Facility		$864.15	$1,394.68	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.15 / $1,002.68 / $1,394.68	Professional		$864.15	$1,002.68	$1,394.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $1,012.64 / $1,515.14	Professional		$838.24	$1,012.64	$1,515.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.68 / $1,339.63 / $1,545.37	Facility		$931.68	$1,339.63	$1,545.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,052.57 / $1,339.63 / $1,913.76	Professional		$1,052.57	$1,339.63	$1,913.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,172.49 / $1,373.31	Facility		$1,172.49	$1,172.49	$1,373.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.34 / $1,376.14 / $2,149.25	Professional		$1,024.34	$1,376.14	$2,149.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,243.94	Professional		$32.34	$32.34	$1,243.94
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 $924.59 / $1,247.30 / $1,977.41	Professional		$924.59	$1,247.30	$1,977.41