Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $1,380.08 / $8,229.00	Facility		$557.00	$1,380.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.78 / $1,371.85 / $1,446.07	Professional		$777.78	$1,371.85	$1,446.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $8,114.00 / $9,015.00	Facility		$7,212.00	$8,114.00	$9,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.70 / $5,262.44 / $5,947.94	Professional		$1,457.70	$5,262.44	$5,947.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,007.68 / $26,765.06 / $48,999.51	Facility		$2,007.68	$26,765.06	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,792.58 / $25,597.97 / $45,495.56	Professional		$1,792.58	$25,597.97	$45,495.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,647.62 / $1,647.62 / $1,647.62	Facility		$1,647.62	$1,647.62	$1,647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,860.07 / $6,860.07 / $6,860.07	Professional		$6,860.07	$6,860.07	$6,860.07
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 $1,399.11 / $1,966.60 / $2,732.54	Professional		$1,399.11	$1,966.60	$2,732.54