Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,760.98 / $10,647.00	Facility		$860.00	$1,760.98	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.72 / $1,845.95 / $2,068.23	Professional		$1,064.72	$1,845.95	$2,068.23
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 $2,949.42 / $41,999.58 / $65,891.39	Facility		$2,949.42	$41,999.58	$65,891.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,928.51 / $43,927.59 / $65,891.39	Professional		$2,928.51	$43,927.59	$65,891.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,621.75 / $2,621.75 / $2,621.75	Facility		$2,621.75	$2,621.75	$2,621.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,269.78 / $10,269.78 / $10,269.78	Professional		$10,269.78	$10,269.78	$10,269.78
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 / $2,738.52 / $3,656.30	Professional		$1,814.59	$2,738.52	$3,656.30