Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,391.59 / $8,229.00	Facility		$860.00	$1,391.59	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.58 / $1,461.08 / $1,909.38	Professional		$1,278.58	$1,461.08	$1,909.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $2,670.47 / $11,253.00	Facility		$884.58	$2,670.47	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.73 / $992.12 / $1,656.94	Professional		$818.73	$992.12	$1,656.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,251.04 / $1,702.86 / $1,964.37	Facility		$1,251.04	$1,702.86	$1,964.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,328.05 / $1,702.86 / $2,432.66	Professional		$1,328.05	$1,702.86	$2,432.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.36 / $1,495.15 / $1,495.15	Facility		$1,327.36	$1,495.15	$1,495.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.88 / $1,567.34 / $2,686.80	Professional		$1,216.88	$1,567.34	$2,686.80
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 $1,124.30 / $1,714.61 / $2,600.78	Professional		$1,124.30	$1,714.61	$2,600.78