Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,078.82 / $8,229.00	Facility		$860.00	$2,078.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.25 / $1,881.64 / $2,403.29	Professional		$1,634.25	$1,881.64	$2,403.29
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 $1,404.53 / $1,658.82 / $2,364.07	Professional		$1,404.53	$1,658.82	$2,364.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,591.16 / $2,170.88 / $2,504.28	Facility		$1,591.16	$2,170.88	$2,504.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,515.74 / $2,170.88 / $3,101.26	Professional		$1,515.74	$2,170.88	$3,101.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.81 / $1,910.81 / $2,480.66	Facility		$1,910.81	$1,910.81	$2,480.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,876.88 / $2,425.94 / $3,839.35	Professional		$1,876.88	$2,425.94	$3,839.35
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 $1,700.73 / $2,439.33 / $3,533.26	Professional		$1,700.73	$2,439.33	$3,533.26