Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,779.14 / $8,229.00	Facility		$860.00	$2,779.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,779.14 / $3,170.25 / $4,127.50	Professional		$2,779.14	$3,170.25	$4,127.50
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 $2,176.00 / $2,636.80 / $3,930.62	Professional		$2,176.00	$2,636.80	$3,930.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,689.48 / $3,691.44 / $4,258.34	Facility		$2,689.48	$3,691.44	$4,258.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,859.43 / $3,691.44 / $5,273.48	Professional		$2,859.43	$3,691.44	$5,273.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,144.23 / $3,248.64 / $3,248.64	Facility		$3,144.23	$3,248.64	$3,248.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.02 / $3,973.10 / $6,254.44	Professional		$2,979.02	$3,973.10	$6,254.44
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 $2,804.79 / $4,061.05 / $5,699.72	Professional		$2,804.79	$4,061.05	$5,699.72