Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,329.23 / $8,229.00	Facility		$860.00	$1,329.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.25 / $1,295.30 / $1,569.35	Professional		$1,240.25	$1,295.30	$1,569.35
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 $1,175.90 / $1,424.92 / $1,968.40	Professional		$1,175.90	$1,424.92	$1,968.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,232.79 / $1,691.75 / $1,951.55	Facility		$1,232.79	$1,691.75	$1,951.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,389.65 / $1,691.75 / $2,416.78	Professional		$1,389.65	$1,691.75	$2,416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,321.40 / $1,483.51 / $1,483.51	Facility		$1,321.40	$1,483.51	$1,483.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.44 / $1,744.65 / $2,843.93	Professional		$1,271.44	$1,744.65	$2,843.93
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 $1,168.72 / $1,731.78 / $2,481.27	Professional		$1,168.72	$1,731.78	$2,481.27