Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.20 / $1,004.71 / $8,229.00	Facility		$712.20	$1,004.71	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $1,271.78 / $1,386.61	Professional		$712.20	$1,271.78	$1,386.61
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 $1,124.06 / $1,322.43 / $1,457.46	Professional		$1,124.06	$1,322.43	$1,457.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,845.96 / $26,511.10 / $47,249.53	Facility		$1,845.96	$26,511.10	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,832.87 / $27,492.99 / $41,239.49	Professional		$1,832.87	$27,492.99	$41,239.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.26 / $1,617.26 / $1,617.26	Facility		$1,617.26	$1,617.26	$1,617.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,735.32 / $6,735.32 / $6,735.32	Professional		$6,735.32	$6,735.32	$6,735.32
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 $1,381.35 / $2,163.23 / $2,866.62	Professional		$1,381.35	$2,163.23	$2,866.62