Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,476.86 / $8,229.00	Facility		$860.00	$1,476.86	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.50 / $1,365.37 / $1,747.93	Professional		$1,186.50	$1,365.37	$1,747.93
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 $1,001.55 / $1,213.65 / $1,713.68	Professional		$1,001.55	$1,213.65	$1,713.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,156.40 / $1,577.41 / $1,819.65	Facility		$1,156.40	$1,577.41	$1,819.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,126.72 / $1,577.41 / $2,253.44	Professional		$1,126.72	$1,577.41	$2,253.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.34 / $1,388.34 / $1,762.34	Facility		$1,388.34	$1,388.34	$1,762.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,384.69 / $1,729.92 / $2,788.90	Professional		$1,384.69	$1,729.92	$2,788.90
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 $1,229.82 / $1,777.26 / $2,566.28	Professional		$1,229.82	$1,777.26	$2,566.28