Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.66 / $1,924.00 / $8,229.00	Facility		$632.66	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.66 / $1,129.75 / $1,202.64	Professional		$632.66	$1,129.75	$1,202.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.53 / $982.18 / $2,037.58	Professional		$810.53	$982.18	$2,037.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,517.63 / $21,951.41 / $46,341.86	Facility		$1,517.63	$21,951.41	$46,341.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,246.61 / $19,349.75 / $34,390.53	Professional		$1,246.61	$19,349.75	$34,390.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.50 / $1,339.50 / $1,339.50	Facility		$1,339.50	$1,339.50	$1,339.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,578.48 / $5,578.48 / $5,578.48	Professional		$5,578.48	$5,578.48	$5,578.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,198.13 / $1,588.74 / $2,424.69	Professional		$1,198.13	$1,588.74	$2,424.69