Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.73 / $1,378.77 / $8,229.00	Facility		$1,305.73	$1,378.77	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.41 / $1,348.23 / $1,667.71	Professional		$1,241.41	$1,348.23	$1,667.71
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 $957.70 / $1,160.50 / $1,846.98	Professional		$957.70	$1,160.50	$1,846.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,278.50 / $1,754.80 / $2,024.30	Facility		$1,278.50	$1,754.80	$2,024.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,253.43 / $1,754.80 / $2,506.86	Professional		$1,253.43	$1,754.80	$2,506.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.29 / $1,541.29 / $1,541.29	Facility		$1,541.29	$1,541.29	$1,541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.76 / $1,695.24 / $2,585.73	Professional		$1,266.76	$1,695.24	$2,585.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,378.77	Professional		$32.34	$32.34	$1,378.77
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 $1,212.81 / $1,619.91 / $2,646.99	Professional		$1,212.81	$1,619.91	$2,646.99