Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,409.02 / $2,550.32 / $8,229.00	Facility		$2,409.02	$2,550.32	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,226.06 / $2,491.21 / $3,233.30	Professional		$2,226.06	$2,491.21	$3,233.30
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 $1,721.59 / $2,086.16 / $3,429.45	Professional		$1,721.59	$2,086.16	$3,429.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,364.84 / $3,245.86 / $3,744.33	Facility		$2,364.84	$3,245.86	$3,744.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,266.30 / $3,245.86 / $4,636.93	Professional		$2,266.30	$3,245.86	$4,636.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.56 / $2,847.56 / $2,847.56	Facility		$2,847.56	$2,847.56	$2,847.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,221.78 / $2,957.67 / $4,916.85	Professional		$2,221.78	$2,957.67	$4,916.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,550.32	Professional		$32.34	$32.34	$2,550.32
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 $2,177.67 / $2,949.20 / $5,038.22	Professional		$2,177.67	$2,949.20	$5,038.22