Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,132.48 / $8,229.00	Facility		$860.00	$2,132.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,132.48 / $2,421.78 / $2,710.36	Professional		$2,132.48	$2,421.78	$2,710.36
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 $1,815.00 / $2,199.36 / $3,591.48	Professional		$1,815.00	$2,199.36	$3,591.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,565.89 / $3,465.07 / $3,997.20	Facility		$2,565.89	$3,465.07	$3,997.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,846.31 / $3,465.07 / $4,950.10	Professional		$2,846.31	$3,465.07	$4,950.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,607.87 / $3,046.28 / $3,046.28	Facility		$2,607.87	$3,046.28	$3,046.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,538.57 / $3,371.31 / $5,082.16	Professional		$2,538.57	$3,371.31	$5,082.16
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 $2,324.92 / $3,314.07 / $5,118.62	Professional		$2,324.92	$3,314.07	$5,118.62