Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,167.04 / $9,311.00	Facility		$860.00	$1,167.04	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.86 / $1,115.95 / $1,293.91	Professional		$1,052.86	$1,115.95	$1,293.91
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 $842.35 / $1,020.73 / $1,573.63	Professional		$842.35	$1,020.73	$1,573.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $1,485.33 / $1,713.44	Facility		$1,089.80	$1,485.33	$1,713.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,037.08 / $1,485.33 / $2,121.90	Professional		$1,037.08	$1,485.33	$2,121.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,062.69 / $1,324.25 / $1,324.25	Facility		$1,062.69	$1,324.25	$1,324.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.08 / $1,468.53 / $2,328.85	Professional		$1,081.08	$1,468.53	$2,328.85
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 $978.39 / $1,396.97 / $2,017.68	Professional		$978.39	$1,396.97	$2,017.68