Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.31 / $1,556.22 / $8,229.00	Facility		$1,472.31	$1,556.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.54 / $1,522.74 / $1,880.47	Professional		$1,402.54	$1,522.74	$1,880.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.08 / $1,245.79 / $2,018.94	Professional		$1,028.08	$1,245.79	$2,018.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,443.05 / $1,980.65 / $2,284.83	Facility		$1,443.05	$1,980.65	$2,284.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,557.15 / $1,980.65 / $2,829.50	Professional		$1,557.15	$1,980.65	$2,829.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,739.15 / $1,739.15 / $1,739.15	Facility		$1,739.15	$1,739.15	$1,739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.46 / $1,869.51 / $2,925.43	Professional		$1,305.46	$1,869.51	$2,925.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,556.23	Professional		$32.34	$32.34	$1,556.23
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 $1,365.40 / $1,847.30 / $2,971.81	Professional		$1,365.40	$1,847.30	$2,971.81