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 $2,283.66 / $2,622.51 / $3,386.69	Professional		$2,283.66	$2,622.51	$3,386.69
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 $2,055.08 / $2,450.17 / $3,712.50	Professional		$2,055.08	$2,450.17	$3,712.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,222.66 / $3,030.17 / $3,495.53	Facility		$2,222.66	$3,030.17	$3,495.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,115.71 / $3,030.17 / $4,328.82	Professional		$2,115.71	$3,030.17	$4,328.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,667.77 / $2,667.77 / $3,551.03	Facility		$2,667.77	$2,667.77	$3,551.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,702.78 / $3,393.00 / $5,206.71	Professional		$2,702.78	$3,393.00	$5,206.71
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 $2,324.13 / $3,342.95 / $4,782.26	Professional		$2,324.13	$3,342.95	$4,782.26