Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,850.01 / $8,229.00	Facility		$860.00	$1,850.01	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.37 / $1,700.16 / $2,014.99	Professional		$1,483.37	$1,700.16	$2,014.99
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 $1,376.71 / $1,699.84 / $2,352.42	Professional		$1,376.71	$1,699.84	$2,352.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,614.18 / $2,416.01 / $2,787.03	Facility		$1,614.18	$2,416.01	$2,787.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,686.89 / $2,270.53 / $3,451.44	Professional		$1,686.89	$2,270.53	$3,451.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,286.41	Facility		$2,122.21	$2,122.21	$2,286.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.74 / $2,390.59 / $3,378.06	Professional		$1,824.74	$2,390.59	$3,378.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,243.44	Professional		$32.34	$32.34	$2,243.44
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 $1,684.70 / $2,269.08 / $3,230.21	Professional		$1,684.70	$2,269.08	$3,230.21