Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,410.32 / $8,229.00	Facility		$860.00	$1,410.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,410.32 / $1,608.71 / $2,074.19	Professional		$1,410.32	$1,608.71	$2,074.19
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 $1,149.95 / $1,420.16 / $2,077.36	Professional		$1,149.95	$1,420.16	$2,077.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,364.70 / $1,873.12 / $2,160.78	Facility		$1,364.70	$1,873.12	$2,160.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,469.02 / $1,873.12 / $3,010.37	Professional		$1,469.02	$1,873.12	$3,010.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,555.90 / $1,649.93 / $1,649.93	Facility		$1,555.90	$1,649.93	$1,649.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.13 / $2,085.42 / $3,419.62	Professional		$1,560.13	$2,085.42	$3,419.62
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 $1,454.72 / $2,113.50 / $3,059.84	Professional		$1,454.72	$2,113.50	$3,059.84