Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,617.44 / $8,229.00	Facility		$1,194.00	$1,617.44	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.12 / $1,617.44 / $1,969.41	Professional		$1,483.12	$1,617.44	$1,969.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.00 / $5,199.00 / $11,294.00	Facility		$2,712.00	$5,199.00	$11,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.78 / $1,340.27 / $2,073.91	Professional		$1,109.78	$1,340.27	$2,073.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,403.50 / $1,968.64 / $2,249.87	Facility		$1,403.50	$1,968.64	$2,249.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,406.17 / $1,968.64 / $2,812.34	Professional		$1,406.17	$1,968.64	$2,812.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.58 / $1,728.48 / $1,753.74	Facility		$1,383.58	$1,728.48	$1,753.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.05 / $1,711.31 / $3,067.18	Professional		$1,304.05	$1,711.31	$3,067.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $877.46	Professional		$32.34	$32.34	$877.46
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,247.05 / $1,590.65 / $2,647.98	Professional		$1,247.05	$1,590.65	$2,647.98