Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.01 / $1,395.28 / $8,229.00	Facility		$694.01	$1,395.28	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.01 / $1,239.30 / $1,395.28	Professional		$694.01	$1,239.30	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,271.00 / $19,794.66 / $55,575.98	Facility		$9,271.00	$19,794.66	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.96 / $2,682.17 / $3,325.15	Professional		$2,071.96	$2,682.17	$3,325.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,686.15 / $24,395.34 / $47,249.53	Facility		$1,686.15	$24,395.34	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,674.19 / $21,498.39 / $37,669.28	Professional		$1,674.19	$21,498.39	$37,669.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,555.88 / $1,555.88 / $1,555.88	Facility		$1,555.88	$1,555.88	$1,555.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,478.08 / $6,478.08 / $6,478.08	Professional		$6,478.08	$6,478.08	$6,478.08
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.88 / $1,873.45 / $2,346.73	Professional		$1,281.88	$1,873.45	$2,346.73