Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,399.73 / $8,229.00	Facility		$787.00	$1,399.73	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.66 / $1,241.02 / $1,412.74	Professional		$1,066.66	$1,241.02	$1,412.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,944.00 / $10,749.00 / $14,818.00	Facility		$5,944.00	$10,749.00	$14,818.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.45 / $1,248.69 / $1,744.64	Professional		$1,034.45	$1,248.69	$1,744.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,147.92 / $1,655.46 / $1,909.69	Facility		$1,147.92	$1,655.46	$1,909.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.64 / $1,655.46 / $2,364.94	Professional		$1,300.64	$1,655.46	$2,364.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.89 / $1,448.89 / $8,380.00	Facility		$1,448.89	$1,448.89	$8,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.51 / $1,733.27 / $2,424.54	Professional		$1,254.51	$1,733.27	$2,424.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,537.21	Professional		$32.34	$32.34	$1,537.21
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 $1,159.21 / $1,662.53 / $2,428.73	Professional		$1,159.21	$1,662.53	$2,428.73