Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,386.58 / $2,747.00	Facility		$787.00	$1,386.58	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.81 / $1,192.40 / $1,459.31	Professional		$1,008.81	$1,192.40	$1,459.31
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 $981.42 / $1,224.51 / $1,727.70	Professional		$981.42	$1,224.51	$1,727.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,130.31 / $1,635.90 / $1,887.14	Facility		$1,130.31	$1,635.90	$1,887.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.21 / $1,635.90 / $2,337.00	Professional		$1,142.21	$1,635.90	$2,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,432.52 / $1,432.52 / $1,713.67	Facility		$1,432.52	$1,432.52	$1,713.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,728.22 / $2,450.23	Professional		$1,298.96	$1,728.22	$2,450.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,519.05	Professional		$32.34	$32.34	$1,519.05
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 $1,196.10 / $1,625.20 / $2,329.44	Professional		$1,196.10	$1,625.20	$2,329.44