Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $4,265.80	Professional		$2,570.40	$3,090.30	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $15,135.61	Facility		$8,511.38	$10,715.19	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,801.89	Professional		$2,041.74	$2,454.71	$3,801.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,467.37 / $4,168.69	Facility		$2,511.89	$3,467.37	$4,168.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $4,168.69	Professional		$2,344.23	$3,548.13	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $4,677.35 / $4,677.35	Facility		$34.67	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $13,182.57	Professional		$2,630.27	$4,265.80	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $5,370.32	Professional		$2,344.23	$3,235.94	$5,370.32