Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.07 / $2,747.00 / $8,229.00	Facility		$494.07	$2,747.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.07 / $897.13 / $6,534.18	Professional		$494.07	$897.13	$6,534.18
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 $934.48 / $1,099.39 / $1,729.16	Professional		$934.48	$1,099.39	$1,729.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.60 / $13,709.66 / $45,499.55	Facility		$954.60	$13,709.66	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $947.83 / $12,171.13 / $21,478.46	Professional		$947.83	$12,171.13	$21,478.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.38 / $1,046.38 / $1,046.38	Facility		$1,046.38	$1,046.38	$1,046.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,094.20 / $4,094.20 / $4,094.20	Professional		$4,094.20	$4,094.20	$4,094.20
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 $904.75 / $1,271.25 / $1,755.23	Professional		$904.75	$1,271.25	$1,755.23