Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.41 / $1,461.14 / $8,229.00	Facility		$1,246.41	$1,461.14	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.67 / $1,288.67 / $1,591.95	Professional		$1,188.67	$1,288.67	$1,591.95
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 $1,103.54 / $1,337.24 / $1,858.90	Professional		$1,103.54	$1,337.24	$1,858.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,222.48 / $1,677.91 / $1,935.59	Facility		$1,222.48	$1,677.91	$1,935.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.54 / $1,677.91 / $2,397.02	Professional		$1,171.54	$1,677.91	$2,397.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,474.51 / $1,474.51 / $1,474.51	Facility		$1,474.51	$1,474.51	$1,474.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.08 / $1,684.20 / $2,550.37	Professional		$1,250.08	$1,684.20	$2,550.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,318.36	Professional		$32.34	$32.34	$1,318.36
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 $1,213.66 / $1,671.59 / $2,515.48	Professional		$1,213.66	$1,671.59	$2,515.48