Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,554.13 / $8,229.00	Facility		$860.00	$1,554.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.67 / $1,392.54 / $1,558.98	Professional		$1,224.67	$1,392.54	$1,558.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,990.10 / $30,856.09	Facility		$8,584.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,216.05 / $1,473.57 / $2,056.98	Professional		$1,216.05	$1,473.57	$2,056.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,477.19 / $1,994.58 / $2,300.90	Facility		$1,477.19	$1,994.58	$2,300.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,525.54 / $1,994.58 / $2,849.40	Professional		$1,525.54	$1,994.58	$2,849.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.47 / $1,751.47 / $1,920.73	Facility		$1,751.47	$1,751.47	$1,920.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.13 / $2,007.23 / $3,047.73	Professional		$1,490.13	$2,007.23	$3,047.73
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 $1,492.85 / $1,897.20 / $2,916.06	Professional		$1,492.85	$1,897.20	$2,916.06