Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.00 / $1,676.47 / $8,229.00	Facility		$1,241.00	$1,676.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.19 / $1,519.40 / $1,897.45	Professional		$1,414.19	$1,519.40	$1,897.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.10 / $1,413.06 / $2,138.50	Professional		$1,166.10	$1,413.06	$2,138.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,450.84 / $1,991.35 / $2,297.16	Facility		$1,450.84	$1,991.35	$2,297.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,390.39 / $1,991.35 / $2,844.78	Professional		$1,390.39	$1,991.35	$2,844.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.91 / $1,749.91 / $1,749.91	Facility		$1,749.91	$1,749.91	$1,749.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.13 / $1,940.32 / $3,094.85	Professional		$1,468.13	$1,940.32	$3,094.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,564.63	Professional		$32.34	$32.34	$1,564.63
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 $1,403.17 / $1,905.89 / $3,085.19	Professional		$1,403.17	$1,905.89	$3,085.19