Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,924.00 / $8,229.00	Facility		$860.00	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.08 / $1,290.10 / $1,733.37	Professional		$1,145.08	$1,290.10	$1,733.37
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 $852.77 / $1,033.34 / $1,661.01	Professional		$852.77	$1,033.34	$1,661.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,227.48 / $1,756.99 / $2,026.81	Facility		$1,227.48	$1,756.99	$2,026.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,254.99 / $1,756.99 / $2,509.98	Professional		$1,254.99	$1,756.99	$2,509.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,253.36 / $1,554.29 / $1,554.29	Facility		$1,253.36	$1,554.29	$1,554.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.75 / $1,744.48 / $2,473.16	Professional		$1,260.75	$1,744.48	$2,473.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,631.49	Professional		$32.34	$32.34	$1,631.49
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.24 / $1,676.96 / $2,468.38	Professional		$1,122.24	$1,676.96	$2,468.38