Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.13 / $1,135.66 / $8,229.00	Facility		$1,075.13	$1,135.66	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.66 / $1,109.83 / $1,373.19	Professional		$1,009.66	$1,109.83	$1,373.19
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 $825.94 / $1,000.85 / $1,517.06	Professional		$825.94	$1,000.85	$1,517.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,053.07 / $1,445.39 / $1,667.36	Facility		$1,053.07	$1,445.39	$1,667.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,130.40 / $1,445.39 / $2,064.84	Professional		$1,130.40	$1,445.39	$2,064.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.05 / $1,269.05 / $1,269.05	Facility		$1,269.05	$1,269.05	$1,269.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.54 / $1,365.14 / $2,122.83	Professional		$1,057.54	$1,365.14	$2,122.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,135.66	Professional		$32.34	$32.34	$1,135.66
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 $988.08 / $1,327.58 / $2,150.23	Professional		$988.08	$1,327.58	$2,150.23