Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,824.87 / $10,152.00	Facility		$896.00	$1,824.87	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.63 / $1,475.98 / $1,824.87	Professional		$1,318.63	$1,475.98	$1,824.87
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 $1,053.49 / $1,276.58 / $2,024.07	Professional		$1,053.49	$1,276.58	$2,024.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,401.92 / $1,924.22 / $2,219.71	Facility		$1,401.92	$1,924.22	$2,219.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,374.44 / $1,924.22 / $2,748.88	Professional		$1,374.44	$1,924.22	$2,748.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,687.91 / $1,687.91 / $1,687.91	Facility		$1,687.91	$1,687.91	$1,687.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,384.89 / $1,787.77 / $2,790.17	Professional		$1,384.89	$1,787.77	$2,790.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,511.88	Professional		$32.34	$32.34	$1,511.88
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 $1,335.77 / $1,799.62 / $3,003.17	Professional		$1,335.77	$1,799.62	$3,003.17