Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,332.98 / $8,229.00	Facility		$860.00	$2,332.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.50 / $1,964.16 / $2,551.67	Professional		$1,712.50	$1,964.16	$2,551.67
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 $1,585.48 / $1,899.60 / $2,845.80	Professional		$1,585.48	$1,899.60	$2,845.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,672.21 / $2,278.42 / $2,628.33	Facility		$1,672.21	$2,278.42	$2,628.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,789.26 / $2,278.42 / $3,254.90	Professional		$1,789.26	$2,278.42	$3,254.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,003.20 / $2,003.20 / $2,783.97	Facility		$2,003.20	$2,003.20	$2,783.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,022.24 / $2,531.41 / $3,997.28	Professional		$2,022.24	$2,531.41	$3,997.28
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 $1,760.88 / $2,450.17 / $3,567.89	Professional		$1,760.88	$2,450.17	$3,567.89