Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,314.19 / $2,747.00	Facility		$787.00	$1,314.19	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,056.18 / $1,221.58 / $1,483.84	Professional		$1,056.18	$1,221.58	$1,483.84
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 $985.89 / $1,266.59 / $1,764.57	Professional		$985.89	$1,266.59	$1,764.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,181.97 / $1,710.94 / $1,973.70	Facility		$1,181.97	$1,710.94	$1,973.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,222.09 / $1,710.94 / $2,444.19	Professional		$1,222.09	$1,710.94	$2,444.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.38 / $1,498.38 / $1,624.21	Facility		$1,498.38	$1,498.38	$1,624.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.71 / $1,795.67 / $2,560.10	Professional		$1,332.71	$1,795.67	$2,560.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,588.73	Professional		$32.34	$32.34	$1,588.73
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 $1,224.33 / $1,725.52 / $2,439.10	Professional		$1,224.33	$1,725.52	$2,439.10