Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,318.93 / $3,740.00	Facility		$787.00	$1,318.93	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.76 / $1,233.04 / $1,458.01	Professional		$1,035.76	$1,233.04	$1,458.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.11 / $1,226.42 / $1,739.90	Professional		$1,030.11	$1,226.42	$1,739.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.53 / $1,678.64 / $1,936.44	Facility		$1,159.53	$1,678.64	$1,936.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,199.03 / $1,678.64 / $2,398.06	Professional		$1,199.03	$1,678.64	$2,398.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.59 / $1,470.59 / $1,761.53	Facility		$1,470.59	$1,470.59	$1,761.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.49 / $1,724.22 / $2,392.62	Professional		$1,225.49	$1,724.22	$2,392.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,558.74	Professional		$32.34	$32.34	$1,558.74
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 $1,223.86 / $1,599.68 / $2,280.33	Professional		$1,223.86	$1,599.68	$2,280.33