Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,925.35 / $10,647.00	Facility		$860.00	$1,925.35	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.80 / $1,491.59 / $1,755.40	Professional		$888.80	$1,491.59	$1,755.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $17,446.63 / $48,983.60	Facility		$5,350.00	$17,446.63	$48,983.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.11 / $1,539.99 / $1,776.49	Professional		$1,312.11	$1,539.99	$1,776.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,985.28 / $28,512.00 / $50,688.00	Facility		$1,985.28	$28,512.00	$50,688.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,971.20 / $29,568.00 / $44,352.00	Professional		$1,971.20	$29,568.00	$44,352.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,881.98 / $1,881.98 / $1,881.98	Facility		$1,881.98	$1,881.98	$1,881.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,243.59 / $7,243.59 / $7,243.59	Professional		$7,243.59	$7,243.59	$7,243.59
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 $1,950.59 / $2,998.93 / $4,038.64	Professional		$1,950.59	$2,998.93	$4,038.64