Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,734.58 / $8,229.00	Facility		$860.00	$1,734.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.86 / $1,474.87 / $1,922.82	Professional		$1,286.86	$1,474.87	$1,922.82
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 $1,167.72 / $1,415.00 / $2,121.42	Professional		$1,167.72	$1,415.00	$2,121.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,259.53 / $1,715.56 / $1,979.02	Facility		$1,259.53	$1,715.56	$1,979.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,409.21 / $1,715.56 / $2,450.80	Professional		$1,409.21	$1,715.56	$2,450.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,507.02 / $1,507.02 / $2,069.90	Facility		$1,507.02	$1,507.02	$2,069.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.48 / $1,897.44 / $2,946.77	Professional		$1,518.48	$1,897.44	$2,946.77
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 $1,322.03 / $2,009.33 / $2,751.64	Professional		$1,322.03	$2,009.33	$2,751.64