Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,200.54 / $8,229.00	Facility		$860.00	$2,200.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.41 / $2,255.19 / $2,937.81	Professional		$1,978.41	$2,255.19	$2,937.81
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 $1,519.56 / $1,841.35 / $2,913.70	Professional		$1,519.56	$1,841.35	$2,913.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,926.94 / $2,626.58 / $3,029.95	Facility		$1,926.94	$2,626.58	$3,029.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,034.71 / $2,626.58 / $3,752.26	Professional		$2,034.71	$2,626.58	$3,752.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.04 / $2,311.04 / $2,625.91	Facility		$2,311.04	$2,311.04	$2,625.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.63 / $2,727.00 / $3,999.34	Professional		$2,119.63	$2,727.00	$3,999.34
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 $1,993.66 / $2,890.50 / $4,056.84	Professional		$1,993.66	$2,890.50	$4,056.84