Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.50 / $1,485.76 / $8,229.00	Facility		$1,386.50	$1,485.76	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.69 / $1,430.90 / $1,770.88	Professional		$1,368.69	$1,430.90	$1,770.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.63 / $1,515.48 / $2,022.73	Professional		$1,250.63	$1,515.48	$2,022.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.00 / $1,859.82 / $2,145.42	Facility		$1,355.00	$1,859.82	$2,145.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,328.44 / $1,859.82 / $2,656.88	Professional		$1,328.44	$1,859.82	$2,656.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.73 / $1,636.73 / $1,636.73	Facility		$1,636.73	$1,636.73	$1,636.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,384.23 / $2,024.59 / $3,197.56	Professional		$1,384.23	$2,024.59	$3,197.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,461.28	Professional		$32.34	$32.34	$1,461.28
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 $1,374.36 / $2,041.00 / $2,888.47	Professional		$1,374.36	$2,041.00	$2,888.47