Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,368.06 / $8,229.00	Facility		$787.00	$1,368.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,301.06 / $1,615.60	Professional		$1,055.19	$1,301.06	$1,615.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.36 / $1,032.09 / $1,743.36	Professional		$854.36	$1,032.09	$1,743.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.26 / $1,569.78 / $1,794.03	Facility		$1,121.26	$1,569.78	$1,794.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,096.04 / $1,569.78 / $2,242.54	Professional		$1,096.04	$1,569.78	$2,242.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,187.06 / $1,414.85 / $1,728.48	Facility		$1,187.06	$1,414.85	$1,728.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.95 / $1,353.64 / $2,539.67	Professional		$1,032.95	$1,353.64	$2,539.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $579.63	Professional		$32.34	$32.34	$579.63
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 $975.45 / $1,223.30 / $2,088.80	Professional		$975.45	$1,223.30	$2,088.80