Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.31 / $1,791.14 / $10,647.00	Facility		$781.31	$1,791.14	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.31 / $1,395.20 / $1,598.88	Professional		$781.31	$1,395.20	$1,598.88
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 $1,124.06 / $1,322.43 / $1,449.81	Professional		$1,124.06	$1,322.43	$1,449.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,859.63 / $26,707.52 / $47,480.05	Facility		$1,859.63	$26,707.52	$47,480.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,846.45 / $27,696.69 / $41,841.78	Professional		$1,846.45	$27,696.69	$41,841.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,730.11 / $1,730.11 / $1,730.11	Facility		$1,730.11	$1,730.11	$1,730.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,251.40 / $7,251.40 / $7,251.40	Professional		$7,251.40	$7,251.40	$7,251.40
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 $1,814.59 / $2,789.81 / $3,696.62	Professional		$1,814.59	$2,789.81	$3,696.62