Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,747.00 / $8,229.00	Facility		$860.00	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,266.87 / $2,645.58 / $3,917.27	Professional		$2,266.87	$2,645.58	$3,917.27
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 $2,040.24 / $2,428.62 / $3,481.90	Professional		$2,040.24	$2,428.62	$3,481.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,208.78 / $3,010.59 / $3,472.93	Facility		$2,208.78	$3,010.59	$3,472.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,472.98 / $3,010.59 / $4,300.84	Professional		$2,472.98	$3,010.59	$4,300.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,650.90 / $2,650.90 / $3,399.54	Facility		$2,650.90	$2,650.90	$3,399.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.77 / $3,336.24 / $5,177.18	Professional		$2,757.77	$3,336.24	$5,177.18
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 $2,284.32 / $3,190.64 / $4,677.18	Professional		$2,284.32	$3,190.64	$4,677.18