Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,106.19 / $8,229.00	Facility		$860.00	$2,106.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,839.64 / $2,106.19 / $2,704.23	Professional		$1,839.64	$2,106.19	$2,704.23
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 $1,663.79 / $2,016.13 / $2,602.64	Professional		$1,663.79	$2,016.13	$2,602.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,791.12 / $2,443.80 / $2,819.09	Facility		$1,791.12	$2,443.80	$2,819.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,871.76 / $2,443.80 / $3,491.14	Professional		$1,871.76	$2,443.80	$3,491.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,152.30 / $2,152.30 / $2,152.30	Facility		$2,152.30	$2,152.30	$2,152.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.98 / $2,718.62 / $3,979.81	Professional		$2,213.98	$2,718.62	$3,979.81
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 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $3,061.14 / $3,991.69	Professional		$1,897.00	$3,061.14	$3,991.69