Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,296.48 / $8,229.00	Facility		$787.00	$1,296.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.02 / $1,620.97 / $1,780.14	Professional		$919.02	$1,620.97	$1,780.14
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 $943.47 / $1,109.97 / $1,604.81	Professional		$943.47	$1,109.97	$1,604.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,510.86 / $36,060.19 / $56,093.63	Facility		$2,510.86	$36,060.19	$56,093.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,493.05 / $35,295.12 / $56,093.63	Professional		$2,493.05	$35,295.12	$56,093.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,076.25 / $2,076.25 / $2,076.25	Facility		$2,076.25	$2,076.25	$2,076.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,646.79 / $8,646.79 / $8,646.79	Professional		$8,646.79	$8,646.79	$8,646.79
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.83 / $2,216.58 / $2,776.39	Professional		$1,403.83	$2,216.58	$2,776.39