Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.15 / $1,758.00 / $2,747.00	Facility		$735.15	$1,758.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.14 / $1,636.87 / $2,075.03	Professional		$1,375.14	$1,636.87	$2,075.03
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 $1,331.78 / $1,624.21 / $2,240.84	Professional		$1,331.78	$1,624.21	$2,240.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,474.04 / $2,131.02 / $2,458.30	Facility		$1,474.04	$2,131.02	$2,458.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,487.91 / $2,131.02 / $3,044.32	Professional		$1,487.91	$2,131.02	$3,044.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.63 / $2,255.91 / $3,141.38	Professional		$1,629.63	$2,255.91	$3,141.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,978.81	Professional		$32.34	$32.34	$1,978.81
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 $1,482.98 / $2,092.13 / $3,167.68	Professional		$1,482.98	$2,092.13	$3,167.68