Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $9,496.00 / $11,627.00	Facility		$306.83	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.19 / $306.83 / $313.75	Professional		$305.19	$306.83	$313.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,083.41 / $2,644.48 / $4,520.03	Professional		$2,083.41	$2,644.48	$4,520.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $327.88 / $4,940.51 / $10,059.87	Facility		$327.88	$4,940.51	$10,059.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.04 / $5,130.53 / $9,053.87	Professional		$342.04	$5,130.53	$9,053.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.23 / $414.23 / $715.04	Professional		$309.23	$414.23	$715.04