Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $2,486.52 / $9,311.00	Facility		$787.00	$2,486.52	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.92 / $1,800.68 / $2,145.32	Professional		$1,062.92	$1,800.68	$2,145.32
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 $175.31 / $1,702.25 / $1,947.97	Professional		$175.31	$1,702.25	$1,947.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,403.56 / $34,519.16 / $55,999.44	Facility		$2,403.56	$34,519.16	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,386.51 / $32,692.17 / $53,696.48	Professional		$2,386.51	$32,692.17	$53,696.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,251.84 / $2,251.84 / $2,251.84	Facility		$2,251.84	$2,251.84	$2,251.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,009.10 / $8,009.10 / $8,009.10	Professional		$8,009.10	$8,009.10	$8,009.10
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,135.12 / $3,489.26 / $4,923.31	Professional		$2,135.12	$3,489.26	$4,923.31