Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.58 / $1,061.33 / $8,229.00	Facility		$663.58	$1,061.33	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,497.23 / $1,927.78	Professional		$663.58	$1,497.23	$1,927.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,271.00 / $10,301.00	Facility		$8,241.00	$9,271.00	$10,301.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.15 / $499.00 / $706.98	Professional		$424.15	$499.00	$706.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,248.65 / $29,979.02 / $52,904.15	Facility		$2,248.65	$29,979.02	$52,904.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,248.65 / $28,875.10 / $50,956.07	Professional		$2,248.65	$28,875.10	$50,956.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,248.48 / $2,248.48 / $2,248.48	Facility		$2,248.48	$2,248.48	$2,248.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,360.83 / $9,360.83 / $9,360.83	Professional		$9,360.83	$9,360.83	$9,360.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
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 $695.94 / $2,309.40 / $3,922.62	Professional		$695.94	$2,309.40	$3,922.62