Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,602.92 / $8,229.00	Facility		$860.00	$1,602.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.92 / $1,828.12 / $2,200.09	Professional		$1,602.92	$1,828.12	$2,200.09
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 $1,521.64 / $1,816.16 / $2,472.65	Professional		$1,521.64	$1,816.16	$2,472.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.46 / $2,130.30 / $2,457.44	Facility		$1,561.46	$2,130.30	$2,457.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,521.64 / $2,130.30 / $3,043.28	Professional		$1,521.64	$2,130.30	$3,043.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,875.01 / $1,875.01 / $1,875.01	Facility		$1,875.01	$1,875.01	$1,875.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,997.51 / $2,435.04 / $3,884.43	Professional		$1,997.51	$2,435.04	$3,884.43
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 $1,653.23 / $2,368.91 / $3,461.77	Professional		$1,653.23	$2,368.91	$3,461.77