Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,345.54 / $8,229.00	Facility		$860.00	$1,345.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.98 / $1,261.41 / $1,559.76	Professional		$1,217.98	$1,261.41	$1,559.76
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 $1,162.16 / $1,408.27 / $2,017.10	Professional		$1,162.16	$1,408.27	$2,017.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.01 / $1,712.51 / $1,975.51	Facility		$1,257.01	$1,712.51	$1,975.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,406.70 / $1,712.51 / $2,446.44	Professional		$1,406.70	$1,712.51	$2,446.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,505.75 / $1,505.75 / $1,876.39	Facility		$1,505.75	$1,505.75	$1,876.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.68 / $1,839.39 / $2,894.91	Professional		$1,362.68	$1,839.39	$2,894.91
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 $1,178.16 / $1,696.94 / $2,530.67	Professional		$1,178.16	$1,696.94	$2,530.67