Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,304.97 / $8,229.00	Facility		$860.00	$1,304.97	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.29 / $1,094.06 / $1,982.61	Professional		$1,060.29	$1,094.06	$1,982.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.66 / $8,915.89 / $14,897.21	Facility		$4,934.66	$8,915.89	$14,897.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.49 / $1,190.56 / $1,728.20	Professional		$982.49	$1,190.56	$1,728.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,014.26 / $1,391.42 / $1,605.10	Facility		$1,014.26	$1,391.42	$1,605.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.95 / $1,391.42 / $1,987.74	Professional		$1,142.95	$1,391.42	$1,987.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,198.98 / $1,219.99 / $1,219.99	Facility		$1,198.98	$1,219.99	$1,219.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.38 / $1,609.58 / $2,442.19	Professional		$1,041.38	$1,609.58	$2,442.19
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 $1,040.40 / $1,477.24 / $2,107.37	Professional		$1,040.40	$1,477.24	$2,107.37