Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,131.67 / $8,229.00	Facility		$860.00	$2,131.67	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.60 / $1,822.85 / $2,370.09	Professional		$1,589.60	$1,822.85	$2,370.09
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 $1,463.19 / $1,773.04 / $2,545.40	Professional		$1,463.19	$1,773.04	$2,545.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,552.20 / $2,114.88 / $2,439.67	Facility		$1,552.20	$2,114.88	$2,439.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,646.39 / $2,114.88 / $3,021.26	Professional		$1,646.39	$2,114.88	$3,021.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,860.74 / $1,860.74 / $2,543.73	Facility		$1,860.74	$1,860.74	$2,543.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.11 / $2,348.69 / $3,675.38	Professional		$1,877.11	$2,348.69	$3,675.38
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 $1,635.05 / $2,313.86 / $3,408.27	Professional		$1,635.05	$2,313.86	$3,408.27