Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,338.88 / $8,229.00	Facility		$787.00	$1,338.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.08 / $1,694.79 / $1,780.58	Professional		$949.08	$1,694.79	$1,780.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $8,988.00 / $9,987.00	Facility		$7,990.00	$8,988.00	$9,987.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,595.14 / $1,876.64 / $2,068.25	Professional		$1,595.14	$1,876.64	$2,068.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,294.23 / $32,948.98 / $53,592.30	Facility		$2,294.23	$32,948.98	$53,592.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,277.94 / $34,169.31 / $51,253.97	Professional		$2,277.94	$34,169.31	$51,253.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,010.36 / $2,010.36 / $2,010.36	Facility		$2,010.36	$2,010.36	$2,010.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,370.79 / $8,370.79 / $8,370.79	Professional		$8,370.79	$8,370.79	$8,370.79
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 $1,707.70 / $2,985.26 / $3,773.23	Professional		$1,707.70	$2,985.26	$3,773.23