Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,636.88 / $8,229.00	Facility		$860.00	$1,636.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.15 / $1,522.28 / $1,874.90	Professional		$1,336.15	$1,522.28	$1,874.90
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 $1,178.19 / $1,472.18 / $2,120.19	Professional		$1,178.19	$1,472.18	$2,120.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,390.25 / $2,083.30 / $2,403.23	Facility		$1,390.25	$2,083.30	$2,403.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,636.88 / $2,083.30 / $2,976.14	Professional		$1,636.88	$2,083.30	$2,976.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.03 / $1,829.03 / $2,023.74	Facility		$1,829.03	$1,829.03	$2,023.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,572.78 / $2,089.62 / $3,012.41	Professional		$1,572.78	$2,089.62	$3,012.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,934.49	Professional		$32.34	$32.34	$1,934.49
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 $1,436.07 / $1,946.86 / $2,816.63	Professional		$1,436.07	$1,946.86	$2,816.63