Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,105.23 / $8,229.00	Facility		$860.00	$2,105.23	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.80 / $2,023.97 / $2,311.23	Professional		$1,768.80	$2,023.97	$2,311.23
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 $1,534.66 / $1,949.16 / $2,873.84	Professional		$1,534.66	$1,949.16	$2,873.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,852.44 / $2,765.18 / $3,189.83	Facility		$1,852.44	$2,765.18	$3,189.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,930.69 / $2,765.18 / $3,950.26	Professional		$1,930.69	$2,765.18	$3,950.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,528.87 / $2,528.87 / $2,601.86	Facility		$2,528.87	$2,528.87	$2,601.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,133.25 / $2,858.89 / $4,048.92	Professional		$2,133.25	$2,858.89	$4,048.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,567.67	Professional		$32.34	$32.34	$2,567.67
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 $2,000.36 / $2,728.42 / $3,804.87	Professional		$2,000.36	$2,728.42	$3,804.87