Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $1,320.97 / $10,152.00	Facility		$896.00	$1,320.97	$10,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.86 / $1,108.41 / $1,320.97	Professional		$1,005.86	$1,108.41	$1,320.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.20 / $955.11 / $1,576.35	Professional		$788.20	$955.11	$1,576.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,090.80 / $1,491.81 / $1,720.91	Facility		$1,090.80	$1,491.81	$1,720.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.42 / $1,491.81 / $2,131.16	Professional		$1,225.42	$1,491.81	$2,131.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.92 / $1,318.04 / $1,318.04	Facility		$1,206.92	$1,318.04	$1,318.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.83 / $1,486.55 / $2,482.86	Professional		$1,158.83	$1,486.55	$2,482.86
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.17 / $1,602.41 / $2,296.02	Professional		$1,032.17	$1,602.41	$2,296.02