Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $3,030.42 / $8,229.00	Facility		$860.00	$3,030.42	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,002.00 / $3,440.95 / $4,159.39	Professional		$3,002.00	$3,440.95	$4,159.39
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 $2,198.73 / $2,664.35 / $4,338.82	Professional		$2,198.73	$2,664.35	$4,338.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,942.99 / $4,016.33 / $4,633.13	Facility		$2,942.99	$4,016.33	$4,633.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,149.00 / $4,016.33 / $5,737.62	Professional		$3,149.00	$4,016.33	$5,737.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,530.36 / $3,530.36 / $3,582.30	Facility		$3,530.36	$3,530.36	$3,582.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,987.49 / $3,854.08 / $6,153.87	Professional		$2,987.49	$3,854.08	$6,153.87
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 $2,640.90 / $3,377.49 / $6,195.14	Professional		$2,640.90	$3,377.49	$6,195.14