Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,952.35 / $8,229.00	Facility		$787.00	$1,952.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,878.36 / $2,152.03 / $2,785.14	Professional		$1,878.36	$2,152.03	$2,785.14
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 $1,919.89 / $2,326.46 / $2,815.35	Professional		$1,919.89	$2,326.46	$2,815.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,810.36 / $2,484.80 / $2,866.40	Facility		$1,810.36	$2,484.80	$2,866.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,774.86 / $2,484.80 / $3,549.72	Professional		$1,774.86	$2,484.80	$3,549.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,185.63 / $2,185.63 / $2,185.63	Facility		$2,185.63	$2,185.63	$2,185.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,841.65 / $2,801.20 / $8,871.31	Professional		$1,841.65	$2,801.20	$8,871.31
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 $1,944.65 / $3,648.27 / $5,110.99	Professional		$1,944.65	$3,648.27	$5,110.99