Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,014.64 / $8,229.00	Facility		$860.00	$1,014.64	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.22 / $949.35 / $1,125.82	Professional		$918.22	$949.35	$1,125.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $10,099.00 / $25,200.51	Facility		$6,153.00	$10,099.00	$25,200.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.61 / $1,045.29 / $1,474.30	Professional		$862.61	$1,045.29	$1,474.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $940.85 / $1,291.35 / $1,489.68	Facility		$940.85	$1,291.35	$1,489.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.63 / $1,291.35 / $1,844.80	Professional		$1,014.63	$1,291.35	$1,844.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.58 / $1,134.58 / $1,343.45	Facility		$1,134.58	$1,134.58	$1,343.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.79 / $1,362.88 / $2,178.88	Professional		$1,013.79	$1,362.88	$2,178.88
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 $875.38 / $1,312.50 / $1,950.24	Professional		$875.38	$1,312.50	$1,950.24