Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,695.79 / $8,229.00	Facility		$860.00	$1,695.79	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.22 / $1,570.95 / $1,858.57	Professional		$1,372.22	$1,570.95	$1,858.57
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 $1,222.92 / $1,470.78 / $2,193.11	Professional		$1,222.92	$1,470.78	$2,193.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,490.22 / $2,236.14 / $2,579.54	Facility		$1,490.22	$2,236.14	$2,579.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,597.24 / $2,156.27 / $3,194.48	Professional		$1,597.24	$2,156.27	$3,194.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,963.51 / $1,963.51 / $2,095.81	Facility		$1,963.51	$1,963.51	$2,095.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.29 / $2,252.40 / $3,160.25	Professional		$1,687.29	$2,252.40	$3,160.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,076.41	Professional		$32.34	$32.34	$2,076.41
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 $1,473.95 / $2,075.73 / $3,003.69	Professional		$1,473.95	$2,075.73	$3,003.69