Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,429.69 / $8,229.00	Facility		$787.00	$2,429.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,329.53 / $2,656.26 / $3,455.12	Professional		$2,329.53	$2,656.26	$3,455.12
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 $2,158.08 / $2,538.92 / $3,575.57	Professional		$2,158.08	$2,538.92	$3,575.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,253.00 / $3,092.35 / $3,567.25	Facility		$2,253.00	$3,092.35	$3,567.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,208.82 / $3,092.35 / $4,417.64	Professional		$2,208.82	$3,092.35	$4,417.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,722.28 / $2,722.28 / $2,722.28	Facility		$2,722.28	$2,722.28	$2,722.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.98 / $3,301.92 / $5,298.96	Professional		$2,732.98	$3,301.92	$5,298.96
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 $2,350.78 / $3,411.15 / $5,024.57	Professional		$2,350.78	$3,411.15	$5,024.57