Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,994.32 / $8,229.00	Facility		$860.00	$1,994.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.42 / $1,932.31 / $2,265.51	Professional		$1,836.42	$1,932.31	$2,265.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,551.84 / $1,880.47 / $2,771.50	Professional		$1,551.84	$1,880.47	$2,771.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.02 / $2,588.63 / $2,986.17	Facility		$1,897.02	$2,588.63	$2,986.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,029.81 / $2,588.63 / $3,698.04	Professional		$2,029.81	$2,588.63	$3,698.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,014.44 / $2,284.13 / $2,284.13	Facility		$2,014.44	$2,284.13	$2,284.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.44 / $2,689.05 / $4,222.05	Professional		$1,903.44	$2,689.05	$4,222.05
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,762.21 / $2,469.16 / $3,650.04	Professional		$1,762.21	$2,469.16	$3,650.04