Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.75 / $1,352.27 / $8,229.00	Facility		$1,058.75	$1,352.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.63 / $1,084.51 / $1,373.20	Professional		$1,004.63	$1,084.51	$1,373.20
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 $936.32 / $1,134.60 / $1,710.30	Professional		$936.32	$1,134.60	$1,710.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,032.58 / $1,417.28 / $1,634.93	Facility		$1,032.58	$1,417.28	$1,634.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $989.56 / $1,417.28 / $2,024.68	Professional		$989.56	$1,417.28	$2,024.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,246.67 / $1,246.67 / $1,246.67	Facility		$1,246.67	$1,246.67	$1,246.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.67 / $1,464.78 / $2,206.80	Professional		$1,068.67	$1,464.78	$2,206.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,113.57	Professional		$32.34	$32.34	$1,113.57
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 $1,015.99 / $1,427.80 / $2,234.17	Professional		$1,015.99	$1,427.80	$2,234.17