Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,485.44 / $8,229.00	Facility		$860.00	$1,485.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.36 / $1,391.05 / $1,600.47	Professional		$1,344.36	$1,391.05	$1,600.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.21 / $1,544.05 / $2,170.50	Professional		$1,274.21	$1,544.05	$2,170.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.41 / $1,890.56 / $2,180.90	Facility		$1,377.41	$1,890.56	$2,180.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,552.96 / $1,890.56 / $2,700.80	Professional		$1,552.96	$1,890.56	$2,700.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,661.40 / $1,661.40 / $1,904.67	Facility		$1,661.40	$1,661.40	$1,904.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.21 / $2,001.98 / $3,194.29	Professional		$1,507.21	$2,001.98	$3,194.29
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 $1,292.19 / $1,883.82 / $2,859.38	Professional		$1,292.19	$1,883.82	$2,859.38