Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,999.32 / $8,229.00	Facility		$860.00	$1,999.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.81 / $1,999.32 / $2,567.10	Professional		$1,745.81	$1,999.32	$2,567.10
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 $1,579.87 / $1,914.44 / $2,470.40	Professional		$1,579.87	$1,914.44	$2,470.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.29 / $2,319.84 / $2,676.11	Facility		$1,700.29	$2,319.84	$2,676.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.31 / $2,319.84 / $3,314.06	Professional		$1,819.31	$2,319.84	$3,314.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,042.95 / $2,042.95 / $2,042.95	Facility		$2,042.95	$2,042.95	$2,042.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,088.82 / $2,580.61 / $3,778.78	Professional		$2,088.82	$2,580.61	$3,778.78
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 $1,800.66 / $2,822.22 / $3,853.23	Professional		$1,800.66	$2,822.22	$3,853.23