Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.07 / $1,175.27 / $8,229.00	Facility		$1,113.07	$1,175.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,149.14 / $1,421.65	Professional		$1,055.57	$1,149.14	$1,421.65
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 $808.52 / $979.74 / $1,564.28	Professional		$808.52	$979.74	$1,564.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $1,495.80 / $1,725.52	Facility		$1,089.80	$1,495.80	$1,725.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.43 / $1,495.80 / $2,136.86	Professional		$1,174.43	$1,495.80	$2,136.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,313.52 / $1,313.52 / $1,313.52	Facility		$1,313.52	$1,313.52	$1,313.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.50 / $1,431.90 / $2,184.89	Professional		$1,068.50	$1,431.90	$2,184.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,175.27	Professional		$32.34	$32.34	$1,175.27
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 $1,024.19 / $1,366.18 / $2,241.67	Professional		$1,024.19	$1,366.18	$2,241.67