Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,535.61 / $8,229.00	Facility		$860.00	$1,535.61	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.22 / $1,496.96 / $1,852.13	Professional		$1,433.22	$1,496.96	$1,852.13
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 $1,357.83 / $1,645.37 / $2,262.00	Professional		$1,357.83	$1,645.37	$2,262.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,424.13 / $1,954.41 / $2,254.56	Facility		$1,424.13	$1,954.41	$2,254.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,573.79 / $1,954.41 / $2,792.02	Professional		$1,573.79	$1,954.41	$2,792.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,571.80 / $1,714.18 / $1,714.18	Facility		$1,571.80	$1,714.18	$1,714.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.26 / $2,128.98 / $3,347.26	Professional		$1,467.26	$2,128.98	$3,347.26
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 $1,537.40 / $2,083.64 / $2,969.80	Professional		$1,537.40	$2,083.64	$2,969.80