Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.00 / $2,590.71 / $14,053.10	Facility		$477.00	$2,590.71	$14,053.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $2,527.54 / $2,906.67	Professional		$477.00	$2,527.54	$2,906.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $208.00	Facility		$208.00	$208.00	$208.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $208.00 / $208.00	Professional		$176.80	$208.00	$208.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,791.30 / $41,467.37 / $79,617.38	Facility		$3,791.30	$41,467.37	$79,617.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,633.33 / $4,423.18 / $58,600.09	Professional		$3,633.33	$4,423.18	$58,600.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.62 / $2,458.34 / $4,168.85	Facility		$2,053.62	$2,458.34	$4,168.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,666.57 / $15,228.40 / $15,228.40	Professional		$3,666.57	$15,228.40	$15,228.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.03 / $1,895.65 / $3,475.36	Professional		$1,368.03	$1,895.65	$3,475.36