Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,576.64 / $13,304.00	Facility		$1,194.00	$1,576.64	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.04 / $1,455.88 / $1,547.98	Professional		$1,322.04	$1,455.88	$1,547.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,255.96 / $1,521.93 / $2,140.06	Professional		$1,255.96	$1,521.93	$2,140.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,471.86 / $2,006.63 / $2,314.79	Facility		$1,471.86	$2,006.63	$2,314.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,648.31 / $2,006.63 / $2,866.62	Professional		$1,648.31	$2,006.63	$2,866.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,563.59 / $1,777.98 / $1,777.98	Facility		$1,563.59	$1,777.98	$1,777.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,574.94 / $1,942.67 / $3,353.44	Professional		$1,574.94	$1,942.67	$3,353.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $1,340.62 / $2,010.93 / $3,083.27	Professional		$1,340.62	$2,010.93	$3,083.27