Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,734.54 / $8,229.00	Facility		$860.00	$1,734.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,437.12 / $1,482.18 / $1,768.76	Professional		$1,437.12	$1,482.18	$1,768.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,592.68 / $21,957.82	Facility		$7,212.00	$9,592.68	$21,957.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.46 / $1,583.13 / $2,146.69	Professional		$1,306.46	$1,583.13	$2,146.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.50 / $1,883.83 / $2,173.13	Facility		$1,372.50	$1,883.83	$2,173.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,547.43 / $1,883.83 / $3,027.58	Professional		$1,547.43	$1,883.83	$3,027.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,652.99 / $1,652.99	Facility		$1,460.51	$1,652.99	$1,652.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.90 / $2,064.84 / $3,151.76	Professional		$1,413.90	$2,064.84	$3,151.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,583.00 / $30,001.00	Facility		$599.00	$4,583.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.73 / $2,059.71 / $3,033.92	Professional		$1,423.73	$2,059.71	$3,033.92