Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.75 / $2,176.60 / $8,229.00	Facility		$1,949.75	$2,176.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.75 / $2,131.42 / $2,638.19	Professional		$1,949.75	$2,131.42	$2,638.19
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 $1,451.96 / $1,729.15 / $2,847.38	Professional		$1,451.96	$1,729.15	$2,847.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,018.30 / $2,770.22 / $3,195.65	Facility		$2,018.30	$2,770.22	$3,195.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,934.21 / $2,770.22 / $3,957.46	Professional		$1,934.21	$2,770.22	$3,957.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,436.71 / $2,436.71 / $2,436.71	Facility		$2,436.71	$2,436.71	$2,436.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.48 / $2,522.16 / $4,093.74	Professional		$1,796.48	$2,522.16	$4,093.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,176.60	Professional		$32.34	$32.34	$2,176.60
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 $1,881.43 / $2,554.48 / $4,191.47	Professional		$1,881.43	$2,554.48	$4,191.47