Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,473.67 / $8,229.00	Facility		$860.00	$1,473.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $1,350.03 / $1,552.46	Professional		$1,300.14	$1,350.03	$1,552.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.27 / $8,584.00 / $14,014.53	Facility		$4,642.27	$8,584.00	$14,014.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.59 / $1,417.28 / $1,936.35	Professional		$1,169.59	$1,417.28	$1,936.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,376.89 / $1,875.58 / $2,163.63	Facility		$1,376.89	$1,875.58	$2,163.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,473.67 / $1,875.58 / $2,679.40	Professional		$1,473.67	$1,875.58	$2,679.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,624.09 / $1,624.09 / $1,820.01	Facility		$1,624.09	$1,624.09	$1,820.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.00 / $1,898.39 / $2,953.58	Professional		$1,336.00	$1,898.39	$2,953.58
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 $1,186.26 / $1,675.13 / $2,673.79	Professional		$1,186.26	$1,675.13	$2,673.79