Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.61 / $2,347.60 / $8,229.00	Facility		$2,223.61	$2,347.60	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,111.15 / $2,294.81 / $2,840.06	Professional		$2,111.15	$2,294.81	$2,840.06
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 $1,556.75 / $1,831.48 / $3,056.97	Professional		$1,556.75	$1,831.48	$3,056.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,176.86 / $2,987.85 / $3,446.70	Facility		$2,176.86	$2,987.85	$3,446.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,086.16 / $2,987.85 / $4,268.35	Professional		$2,086.16	$2,987.85	$4,268.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,624.83 / $2,624.83 / $2,624.83	Facility		$2,624.83	$2,624.83	$2,624.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,979.39 / $2,748.48 / $4,462.57	Professional		$1,979.39	$2,748.48	$4,462.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,347.60	Professional		$32.34	$32.34	$2,347.60
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 $2,058.42 / $2,844.62 / $4,507.63	Professional		$2,058.42	$2,844.62	$4,507.63