Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,590.41 / $13,304.00	Facility		$1,194.00	$1,590.41	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.67 / $1,508.99 / $1,780.10	Professional		$1,432.67	$1,508.99	$1,780.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.51 / $1,532.30 / $2,170.07	Professional		$1,264.51	$1,532.30	$2,170.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,486.63 / $2,024.16 / $2,335.02	Facility		$1,486.63	$2,024.16	$2,335.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,590.69 / $2,024.16 / $2,891.66	Professional		$1,590.69	$2,024.16	$2,891.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,571.01 / $1,786.18 / $1,786.18	Facility		$1,571.01	$1,786.18	$1,786.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,543.85 / $1,908.66 / $3,279.20	Professional		$1,543.85	$1,908.66	$3,279.20
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 $1,375.81 / $1,998.74 / $3,038.11	Professional		$1,375.81	$1,998.74	$3,038.11