Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,268.33 / $13,304.00	Facility		$1,065.00	$1,268.33	$13,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,173.92 / $1,215.71	Professional		$1,065.00	$1,173.92	$1,215.71
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 $968.15 / $1,173.17 / $1,803.16	Professional		$968.15	$1,173.17	$1,803.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.09 / $1,614.26 / $1,862.15	Facility		$1,176.09	$1,614.26	$1,862.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.09 / $1,614.26 / $2,594.34	Professional		$1,127.09	$1,614.26	$2,594.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,173.85 / $1,441.32 / $1,441.32	Facility		$1,173.85	$1,441.32	$1,441.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.76 / $1,569.98 / $2,691.19	Professional		$1,249.76	$1,569.98	$2,691.19
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 $1,073.29 / $1,574.99 / $2,459.75	Professional		$1,073.29	$1,574.99	$2,459.75