Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.21 / $1,683.04 / $8,229.00	Facility		$1,594.21	$1,683.04	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.09 / $1,644.51 / $2,036.17	Professional		$1,510.09	$1,644.51	$2,036.17
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 $1,144.93 / $1,346.98 / $2,186.91	Professional		$1,144.93	$1,346.98	$2,186.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,560.64 / $2,142.06 / $2,471.01	Facility		$1,560.64	$2,142.06	$2,471.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,680.78 / $2,142.06 / $3,060.08	Professional		$1,680.78	$2,142.06	$3,060.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,879.75 / $1,879.75 / $1,879.75	Facility		$1,879.75	$1,879.75	$1,879.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.22 / $2,016.23 / $3,139.77	Professional		$1,436.22	$2,016.23	$3,139.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,683.04	Professional		$32.34	$32.34	$1,683.04
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 $1,446.80 / $1,941.52 / $3,344.88	Professional		$1,446.80	$1,941.52	$3,344.88