Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,217.00 / $8,229.00	Facility		$860.00	$1,217.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.89 / $1,146.26 / $1,401.41	Professional		$1,082.89	$1,146.26	$1,401.41
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 $1,009.08 / $1,222.77 / $1,828.80	Professional		$1,009.08	$1,222.77	$1,828.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,132.22 / $1,548.90 / $1,786.78	Facility		$1,132.22	$1,548.90	$1,786.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,249.04 / $1,548.90 / $2,212.71	Professional		$1,249.04	$1,548.90	$2,212.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,362.06 / $1,362.06 / $1,415.54	Facility		$1,362.06	$1,362.06	$1,415.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,186.81 / $1,659.12 / $2,559.83	Professional		$1,186.81	$1,659.12	$2,559.83
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 $997.62 / $1,548.47 / $2,225.21	Professional		$997.62	$1,548.47	$2,225.21