Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $2,932.45 / $8,229.00	Facility		$637.00	$2,932.45	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,932.45 / $4,273.09 / $5,643.72	Professional		$2,932.45	$4,273.09	$5,643.72
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 $346.04 / $432.45 / $578.78	Professional		$346.04	$432.45	$578.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,355.83 / $58,116.44 / $116,232.90	Facility		$5,355.83	$58,116.44	$116,232.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,317.84 / $53,276.17 / $119,651.49	Professional		$5,317.84	$53,276.17	$119,651.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,582.58 / $6,582.58 / $6,582.58	Facility		$6,582.58	$6,582.58	$6,582.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24,931.59 / $24,931.59 / $24,931.59	Professional		$24,931.59	$24,931.59	$24,931.59
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 $898.78 / $1,398.97 / $2,222.19	Professional		$898.78	$1,398.97	$2,222.19