Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $8,511.38	Facility		$794.33	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,786.30 / $8,709.64	Professional		$616.60	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,888.44 / $5,888.44	Facility		$4,786.30	$5,888.44	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $776.25	Professional		$478.63	$575.44	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $144,543.98 / $295,120.92	Facility		$13,489.63	$144,543.98	$295,120.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $177,827.94 / $309,029.54	Professional		$13,803.84	$177,827.94	$309,029.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $46,773.51	Professional		$46,773.51	$46,773.51	$46,773.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,760.83 / $15,488.17	Facility		$1,174.90	$6,760.83	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,659.59	Professional		$489.78	$724.44	$1,659.59