Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,388.56 / $10,152.00	Facility		$896.00	$1,388.56	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.20 / $1,327.06 / $1,585.81	Professional		$1,257.20	$1,327.06	$1,585.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.77 / $1,087.89 / $1,778.33	Professional		$897.77	$1,087.89	$1,778.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,300.72 / $1,767.26 / $2,038.66	Facility		$1,300.72	$1,767.26	$2,038.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,391.77 / $1,767.26 / $2,524.66	Professional		$1,391.77	$1,767.26	$2,524.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.67 / $1,588.22 / $1,588.22	Facility		$1,073.67	$1,588.22	$1,588.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.64 / $1,559.25 / $2,631.31	Professional		$1,206.64	$1,559.25	$2,631.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,173.05 / $1,719.71 / $2,763.14	Professional		$1,173.05	$1,719.71	$2,763.14