Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,394.39 / $2,747.00	Facility		$787.00	$1,394.39	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.24 / $1,266.21 / $1,539.14	Professional		$1,094.24	$1,266.21	$1,539.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.78 / $1,371.31 / $1,916.80	Professional		$1,086.78	$1,371.31	$1,916.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.98 / $1,774.68 / $2,047.23	Facility		$1,225.98	$1,774.68	$2,047.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,394.39 / $1,774.68 / $2,535.26	Professional		$1,394.39	$1,774.68	$2,535.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.88 / $1,553.88 / $1,841.70	Facility		$1,553.88	$1,553.88	$1,841.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.25 / $1,917.88 / $2,806.05	Professional		$1,299.25	$1,917.88	$2,806.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,647.92	Professional		$32.34	$32.34	$1,647.92
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.73 / $1,779.62 / $2,607.33	Professional		$1,292.73	$1,779.62	$2,607.33