Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,208.72 / $8,229.00	Facility		$860.00	$1,208.72	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.00 / $1,051.08 / $1,254.16	Professional		$1,019.00	$1,051.08	$1,254.16
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 $921.01 / $1,116.06 / $1,502.90	Professional		$921.01	$1,116.06	$1,502.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $974.87 / $1,337.31 / $1,542.69	Facility		$974.87	$1,337.31	$1,542.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.73 / $1,337.31 / $2,149.25	Professional		$933.73	$1,337.31	$2,149.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.75 / $1,172.29 / $1,172.29	Facility		$1,017.75	$1,172.29	$1,172.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.56 / $1,460.35 / $2,228.83	Professional		$1,000.56	$1,460.35	$2,228.83
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.46 / $1,457.08 / $2,022.18	Professional		$1,002.46	$1,457.08	$2,022.18