Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,487.10 / $8,229.00	Facility		$860.00	$1,487.10	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.04 / $1,444.65 / $1,715.74	Professional		$1,394.04	$1,444.65	$1,715.74
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 $1,112.57 / $1,348.18 / $1,919.94	Professional		$1,112.57	$1,348.18	$1,919.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,340.75 / $1,823.99 / $2,104.10	Facility		$1,340.75	$1,823.99	$2,104.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,430.44 / $1,823.99 / $2,605.69	Professional		$1,430.44	$1,823.99	$2,605.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,252.15 / $1,600.60 / $1,600.60	Facility		$1,252.15	$1,600.60	$1,600.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.94 / $1,780.71 / $2,817.29	Professional		$1,352.94	$1,780.71	$2,817.29
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 $1,222.14 / $1,842.12 / $2,843.12	Professional		$1,222.14	$1,842.12	$2,843.12