Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,198.72 / $9,311.00	Facility		$860.00	$1,198.72	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.00 / $1,146.00 / $1,329.67	Professional		$1,081.00	$1,146.00	$1,329.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.53 / $1,109.41 / $1,618.46	Professional		$915.53	$1,109.41	$1,618.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.14 / $1,525.65 / $1,759.95	Facility		$1,119.14	$1,525.65	$1,759.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.23 / $1,525.65 / $2,179.50	Professional		$1,065.23	$1,525.65	$2,179.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.86 / $1,360.05 / $1,360.05	Facility		$1,105.86	$1,360.05	$1,360.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.79 / $1,538.57 / $2,398.29	Professional		$1,128.79	$1,538.57	$2,398.29
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 $951.31 / $1,439.67 / $2,221.32	Professional		$951.31	$1,439.67	$2,221.32