Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,387.22 / $8,229.00	Facility		$860.00	$1,387.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.33 / $1,167.14 / $1,392.40	Professional		$1,131.33	$1,167.14	$1,392.40
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 $1,027.22 / $1,244.76 / $1,783.30	Professional		$1,027.22	$1,244.76	$1,783.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,081.83 / $1,484.31 / $1,712.26	Facility		$1,081.83	$1,484.31	$1,712.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,157.57 / $1,484.31 / $2,120.44	Professional		$1,157.57	$1,484.31	$2,120.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.05 / $1,301.96 / $1,301.96	Facility		$1,168.05	$1,301.96	$1,301.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.88 / $1,628.93 / $2,464.96	Professional		$1,111.88	$1,628.93	$2,464.96
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 $1,100.84 / $1,576.31 / $2,250.29	Professional		$1,100.84	$1,576.31	$2,250.29