Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,088.96 / $2,747.00 / $8,229.00	Facility		$2,088.96	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,541.04 / $2,818.49 / $3,489.95	Professional		$2,541.04	$2,818.49	$3,489.95
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 $2,003.60 / $2,369.35 / $3,867.01	Professional		$2,003.60	$2,369.35	$3,867.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,671.56 / $3,666.85 / $4,229.97	Facility		$2,671.56	$3,666.85	$4,229.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,619.17 / $3,666.85 / $5,238.35	Professional		$2,619.17	$3,666.85	$5,238.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,227.34 / $3,227.34 / $3,227.34	Facility		$3,227.34	$3,227.34	$3,227.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,322.90 / $3,497.82 / $5,596.69	Professional		$2,322.90	$3,497.82	$5,596.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,881.10	Professional		$32.34	$32.34	$2,881.10
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $3,490.88 / $27,879.00	Facility		$405.00	$3,490.88	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,469.19 / $3,527.42 / $5,789.55	Professional		$2,469.19	$3,527.42	$5,789.55