Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,584.28 / $8,229.00	Facility		$860.00	$1,584.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.54 / $1,566.72 / $2,050.21	Professional		$1,370.54	$1,566.72	$2,050.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.73 / $1,478.03 / $2,105.40	Professional		$1,219.73	$1,478.03	$2,105.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,335.61 / $1,821.50 / $2,101.23	Facility		$1,335.61	$1,821.50	$2,101.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,271.80 / $1,821.50 / $2,602.14	Professional		$1,271.80	$1,821.50	$2,602.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.10 / $1,599.10 / $1,890.53	Facility		$1,599.10	$1,599.10	$1,890.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.13 / $1,963.44 / $3,082.76	Professional		$1,606.13	$1,963.44	$3,082.76
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 $1,387.47 / $2,001.28 / $2,808.82	Professional		$1,387.47	$2,001.28	$2,808.82