Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,240.03 / $8,229.00	Facility		$637.00	$1,240.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.78 / $1,175.20 / $1,420.74	Professional		$1,117.78	$1,175.20	$1,420.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.16 / $1,290.73 / $1,765.30	Professional		$1,065.16	$1,290.73	$1,765.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,153.56 / $1,578.22 / $1,820.60	Facility		$1,153.56	$1,578.22	$1,820.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,272.39 / $1,578.22 / $2,254.60	Professional		$1,272.39	$1,578.22	$2,254.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.50 / $1,392.50 / $1,435.08	Facility		$1,392.50	$1,392.50	$1,435.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.15 / $1,708.07 / $2,679.23	Professional		$1,258.15	$1,708.07	$2,679.23
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.58 / $1,628.86 / $2,369.23	Professional		$1,072.58	$1,628.86	$2,369.23