Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,448.21 / $8,229.00	Facility		$896.00	$1,448.21	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.44 / $1,183.98 / $1,448.21	Professional		$1,018.44	$1,183.98	$1,448.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,559.00 / $10,990.10 / $30,856.09	Facility		$6,559.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.46 / $1,207.88 / $1,756.30	Professional		$970.46	$1,207.88	$1,756.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,093.58 / $1,578.63 / $1,821.06	Facility		$1,093.58	$1,578.63	$1,821.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.58 / $1,578.63 / $2,255.17	Professional		$1,127.58	$1,578.63	$2,255.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.39 / $1,382.39 / $1,426.03	Facility		$1,382.39	$1,382.39	$1,426.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.76 / $1,658.84 / $2,368.10	Professional		$1,197.76	$1,658.84	$2,368.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,465.87	Professional		$32.34	$32.34	$1,465.87
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 $1,098.84 / $1,565.51 / $2,334.15	Professional		$1,098.84	$1,565.51	$2,334.15