Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,250.80 / $8,229.00	Facility		$2,747.00	$4,250.80	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,753.88 / $4,208.43 / $5,193.12	Professional		$3,753.88	$4,208.43	$5,193.12
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 $2,643.64 / $3,203.47 / $5,455.76	Professional		$2,643.64	$3,203.47	$5,455.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,984.77 / $5,469.30 / $6,309.22	Facility		$3,984.77	$5,469.30	$6,309.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,818.74 / $5,469.30 / $7,813.28	Professional		$3,818.74	$5,469.30	$7,813.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,800.85 / $4,800.85 / $4,800.85	Facility		$4,800.85	$4,800.85	$4,800.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,546.75 / $4,907.60 / $7,958.77	Professional		$3,546.75	$4,907.60	$7,958.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,297.30	Professional		$32.34	$32.34	$4,297.30
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 $3,563.34 / $4,762.33 / $8,240.36	Professional		$3,563.34	$4,762.33	$8,240.36