Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.95 / $1,780.23 / $10,647.00	Facility		$695.95	$1,780.23	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.95 / $1,242.76 / $1,760.02	Professional		$695.95	$1,242.76	$1,760.02
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 $1,308.99 / $1,539.99 / $1,739.83	Professional		$1,308.99	$1,539.99	$1,739.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.22 / $19,779.18 / $47,249.53	Facility		$1,377.22	$19,779.18	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,367.45 / $20,511.75 / $30,767.63	Professional		$1,367.45	$20,511.75	$30,767.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,474.28 / $1,474.28 / $1,474.28	Facility		$1,474.28	$1,474.28	$1,474.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,983.22 / $6,983.22 / $6,983.22	Professional		$6,983.22	$6,983.22	$6,983.22
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 $1,781.55 / $2,775.74 / $3,679.30	Professional		$1,781.55	$2,775.74	$3,679.30