Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.00 / $1,758.00 / $8,229.00	Facility		$637.00	$1,758.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.90 / $1,324.82 / $1,841.92	Professional		$741.90	$1,324.82	$1,841.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $1,009.64 / $1,912.99	Professional		$146.88	$1,009.64	$1,912.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,071.57 / $29,751.30 / $50,749.49	Facility		$2,071.57	$29,751.30	$50,749.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,056.88 / $26,412.54 / $46,279.80	Professional		$2,056.88	$26,412.54	$46,279.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,803.75 / $1,803.75 / $1,803.75	Facility		$1,803.75	$1,803.75	$1,803.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,560.07 / $7,560.07 / $7,560.07	Professional		$7,560.07	$7,560.07	$7,560.07
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,088.29 / $3,098.78 / $3,911.19	Professional		$2,088.29	$3,098.78	$3,911.19