Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,747.00 / $8,229.00	Facility		$896.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,345.51 / $2,717.46 / $3,202.13	Professional		$2,345.51	$2,717.46	$3,202.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $18,409.41 / $55,575.98	Facility		$6,559.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,909.78 / $2,246.81 / $3,624.37	Professional		$1,909.78	$2,246.81	$3,624.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,496.37 / $3,623.62 / $4,180.10	Facility		$2,496.37	$3,623.62	$4,180.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,588.30 / $3,623.62 / $5,176.60	Professional		$2,588.30	$3,623.62	$5,176.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,153.08 / $3,176.17 / $3,176.17	Facility		$3,153.08	$3,176.17	$3,176.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,550.28 / $3,628.96 / $5,386.23	Professional		$2,550.28	$3,628.96	$5,386.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,364.79	Professional		$32.34	$32.34	$3,364.79
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 $2,413.57 / $3,430.71 / $5,398.13	Professional		$2,413.57	$3,430.71	$5,398.13