Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,818.38 / $10,471.29	Facility		$794.33	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,380.38	Professional		$660.69	$1,000.00	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,232.93 / $18,620.87	Facility		$9,332.54	$10,232.93	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $3,235.94	Professional		$2,290.87	$2,691.53	$3,235.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $16,595.87 / $46,773.51	Facility		$1,258.93	$16,595.87	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $15,848.93 / $28,183.83	Professional		$1,023.29	$15,848.93	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,238.72	Professional		$1,023.29	$1,445.44	$2,238.72