Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.05 / $2,160.32 / $8,229.00	Facility		$1,949.05	$2,160.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.05 / $2,118.71 / $2,652.17	Professional		$1,949.05	$2,118.71	$2,652.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,720.89 / $10,099.00 / $25,551.65	Facility		$7,720.89	$10,099.00	$25,551.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,603.10 / $1,942.58 / $2,949.08	Professional		$1,603.10	$1,942.58	$2,949.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,003.21 / $2,749.50 / $3,171.75	Facility		$2,003.21	$2,749.50	$3,171.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,919.74 / $2,749.50 / $3,927.86	Professional		$1,919.74	$2,749.50	$3,927.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.19 / $2,429.19 / $2,429.19	Facility		$2,429.19	$2,429.19	$2,429.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,982.30 / $2,619.51 / $4,145.29	Professional		$1,982.30	$2,619.51	$4,145.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,160.32	Professional		$32.34	$32.34	$2,160.32
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,958.60 / $2,608.96 / $4,214.70	Professional		$1,958.60	$2,608.96	$4,214.70