Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,749.26 / $8,229.00	Facility		$787.00	$1,749.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.26 / $1,994.60 / $2,480.17	Professional		$1,749.26	$1,994.60	$2,480.17
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 $2,328.58 / $2,842.54 / $3,804.20	Professional		$2,328.58	$2,842.54	$3,804.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,680.96 / $2,307.19 / $2,661.52	Facility		$1,680.96	$2,307.19	$2,661.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,648.00 / $2,307.19 / $3,296.00	Professional		$1,648.00	$2,307.19	$3,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.96 / $2,132.96 / $2,132.96	Facility		$2,132.96	$2,132.96	$2,132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.60 / $2,516.01 / $8,938.29	Professional		$1,700.60	$2,516.01	$8,938.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
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 $1,591.20 / $2,451.56 / $3,405.71	Professional		$1,591.20	$2,451.56	$3,405.71