Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,230.31 / $8,229.00	Facility		$637.00	$1,230.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.31 / $2,052.81 / $4,955.22	Professional		$1,230.31	$2,052.81	$4,955.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $5,350.00 / $5,944.00	Facility		$4,755.00	$5,350.00	$5,944.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.46 / $618.72 / $846.77	Professional		$491.46	$618.72	$846.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,322.07 / $55,999.44 / $115,500.30	Facility		$5,322.07	$55,999.44	$115,500.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,284.33 / $53,276.17 / $118,897.38	Professional		$5,284.33	$53,276.17	$118,897.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,100.55 / $6,100.55 / $6,100.55	Facility		$6,100.55	$6,100.55	$6,100.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24,066.31 / $24,066.31 / $24,066.31	Professional		$24,066.31	$24,066.31	$24,066.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $15,387.00	Facility		$1,168.00	$6,186.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.33 / $1,647.41 / $2,617.28	Professional		$1,084.33	$1,647.41	$2,617.28