Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,942.18 / $8,229.00	Facility		$2,747.00	$2,942.18	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,650.11 / $2,882.36 / $3,566.64	Professional		$2,650.11	$2,882.36	$3,566.64
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 $2,269.41 / $2,750.00 / $3,987.59	Professional		$2,269.41	$2,750.00	$3,987.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,728.20 / $3,744.59 / $4,319.64	Facility		$2,728.20	$3,744.59	$4,319.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,614.53 / $3,744.59 / $5,349.42	Professional		$2,614.53	$3,744.59	$5,349.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,293.81 / $3,293.81 / $3,293.81	Facility		$3,293.81	$3,293.81	$3,293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,770.38 / $3,540.26 / $5,567.15	Professional		$2,770.38	$3,540.26	$5,567.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,942.18	Professional		$32.34	$32.34	$2,942.18
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 $2,640.86 / $3,519.87 / $5,661.70	Professional		$2,640.86	$3,519.87	$5,661.70