Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,798.33 / $8,229.00	Facility		$860.00	$1,798.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.45 / $1,714.53 / $2,233.94	Professional		$1,498.45	$1,714.53	$2,233.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.93 / $1,633.09 / $2,203.30	Professional		$1,371.93	$1,633.09	$2,203.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,446.74 / $1,985.73 / $2,290.67	Facility		$1,446.74	$1,985.73	$2,290.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,544.73 / $1,985.73 / $2,836.76	Professional		$1,544.73	$1,985.73	$2,836.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.39 / $1,745.39 / $2,145.96	Facility		$1,745.39	$1,745.39	$2,145.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,679.98 / $2,135.73 / $3,416.75	Professional		$1,679.98	$2,135.73	$3,416.75
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 $1,514.71 / $2,196.94 / $3,083.44	Professional		$1,514.71	$2,196.94	$3,083.44