Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $2,394.07 / $12,986.40	Facility		$719.07	$2,394.07	$12,986.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,306.48 / $2,394.07 / $2,919.60	Professional		$2,306.48	$2,394.07	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,817.45 / $2,627.64 / $3,068.50	Facility		$1,817.45	$2,627.64	$3,068.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $800.00 / $1,167.83	Professional		$100.00	$800.00	$1,167.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $4,087.44 / $4,671.35	Facility		$2,919.60	$4,087.44	$4,671.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,795.48 / $4,904.93	Professional		$2,919.60	$3,795.48	$4,904.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,897.74 / $2,271.73 / $3,503.52	Facility		$1,897.74	$2,271.73	$3,503.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.74 / $3,354.80 / $14,072.47	Professional		$1,335.74	$3,354.80	$14,072.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,605.78 / $1,605.78 / $1,605.78	Professional		$1,605.78	$1,605.78	$1,605.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $3,211.56	Professional		$1,226.23	$1,751.76	$3,211.56