Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,726.34 / $2,750.08 / $8,229.00	Facility		$2,726.34	$2,750.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,610.86 / $2,838.61 / $3,512.48	Professional		$2,610.86	$2,838.61	$3,512.48
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 $2,159.67 / $2,617.02 / $3,916.21	Professional		$2,159.67	$2,617.02	$3,916.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,693.00 / $3,696.28 / $4,263.92	Facility		$2,693.00	$3,696.28	$4,263.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,580.80 / $3,696.28 / $5,280.40	Professional		$2,580.80	$3,696.28	$5,280.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,246.98 / $3,246.98 / $3,246.98	Facility		$3,246.98	$3,246.98	$3,246.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.82 / $3,485.05 / $5,487.37	Professional		$2,705.82	$3,485.05	$5,487.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,904.22	Professional		$32.34	$32.34	$2,904.22
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 $2,574.02 / $3,373.87 / $5,574.34	Professional		$2,574.02	$3,373.87	$5,574.34