Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,072.14 / $8,229.00	Facility		$860.00	$2,072.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.24 / $1,831.93 / $2,394.81	Professional		$1,602.24	$1,831.93	$2,394.81
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 $1,470.50 / $1,781.91 / $2,579.30	Professional		$1,470.50	$1,781.91	$2,579.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,128.53 / $2,128.53 / $2,276.36	Facility		$2,128.53	$2,128.53	$2,276.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,486.17 / $2,034.23 / $3,420.86	Professional		$1,486.17	$2,034.23	$3,420.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.52 / $1,868.52 / $2,472.69	Facility		$1,868.52	$1,868.52	$2,472.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,895.76 / $2,372.48 / $3,707.02	Professional		$1,895.76	$2,372.48	$3,707.02
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 $1,652.20 / $2,341.82 / $3,288.99	Professional		$1,652.20	$2,341.82	$3,288.99