Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.51 / $2,747.00 / $10,647.00	Facility		$437.51	$2,747.00	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.51 / $781.26 / $869.40	Professional		$437.51	$781.26	$869.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.18 / $479.04 / $599.91	Professional		$407.18	$479.04	$599.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,165.68 / $16,865.09 / $47,249.53	Facility		$1,165.68	$16,865.09	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,157.41 / $17,361.12 / $26,041.68	Professional		$1,157.41	$17,361.12	$26,041.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.72 / $943.72 / $943.72	Facility		$943.72	$943.72	$943.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,177.44 / $3,177.44 / $3,177.44	Professional		$3,177.44	$3,177.44	$3,177.44
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 $3,000.00 / $17,439.00 / $33,762.00	Facility		$3,000.00	$17,439.00	$33,762.00
United Facility/Professional Professional Modifier Low / Median / High Price $891.49 / $1,370.63 / $1,816.18	Professional		$891.49	$1,370.63	$1,816.18