Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.18 / $1,318.17 / $8,229.00	Facility		$665.18	$1,318.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.18 / $1,187.82 / $1,318.17	Professional		$665.18	$1,187.82	$1,318.17
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 $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 $1,438.75 / $20,815.95 / $45,499.55	Facility		$1,438.75	$20,815.95	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,428.55 / $18,344.06 / $32,371.88	Professional		$1,428.55	$18,344.06	$32,371.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,493.35 / $1,493.35 / $1,493.35	Facility		$1,493.35	$1,493.35	$1,493.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,843.53 / $5,843.53 / $5,843.53	Professional		$5,843.53	$5,843.53	$5,843.53
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 $1,228.56 / $1,789.29 / $2,734.45	Professional		$1,228.56	$1,789.29	$2,734.45